Ayson, Franklen Jr. C.

HRN: 27-27-23  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/15/2026
AMPICILLIN 500MG (VIAL)
02/15/2026
02/22/2026
IV
410MG
Q6
PCAP-C
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: