Luna, Anaskie Kassilda M.

HRN: 24-44-07  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/18/2026
AMPICILLIN 1GM (VIAL)
05/18/2026
05/19/2026
IV
2 Grams
Q6
PROM X 5 Hrs
Checking Initial Appropriateness 

AMS Audit Form


Start Date: End Date:

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: