Dragon, Kristoff .

HRN: 28-52-70  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/09/2026
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
02/09/2026
02/16/2026
IVTT
375mg
Q6h
PCAP-C
Remove - Pending Acceptance

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: