Basco, Marlyn L.

HRN: 19-31-93  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/06/2026
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
04/06/2026
04/06/2026
IV
1 Gram
PTOR
Surgical Prophylaxis
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: