Alota, Kaytlyn Bliss .

HRN: 26-47-32  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/07/2026
AMPICILLIN 1GM (VIAL)
07/07/2026
07/14/2026
IV
1g
Q6h
PCAP
Checking Initial Appropriateness 
07/10/2026
NYSTATIN 100,000IU/ML, 30ML SUSPENSION (BOT)
07/10/2026
07/17/2026
SWISH
1ml
QID
Oral Thrush
Checking Initial Appropriateness 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: