Romanillos, Jaymar H.

HRN: 09-12-23  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/09/2022
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
09/09/2022
09/16/2022
IV
570mg
Q6hours
PCAP-C With Moderate Dehydration
Waiting Final Action 
09/09/2022
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
09/09/2022
09/15/2022
IV
340mg
OD
PCAP C
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



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Final appropriateness:



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Overall appropriateness: