Godoyo, Jayden .

HRN: 23-32-23  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/04/2026
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
04/04/2026
04/11/2026
IV
590mg
Q6
Pcap With Hrad
Checking Initial Appropriateness 
04/06/2026
CLARITHROMYCIN 125MG/5ML, 60ML SUSPENSION (BOT)
04/06/2026
04/13/2026
PO
4ml
Q12h
PCAP C
Checking Initial Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: