Candao, Ahliyah .

HRN: 29-32-77  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/20/2026
AMPICILLIN 1GM (VIAL)
08/20/2026
08/27/2026
IV
385mg
Q12h
Sepsis
Remove - Pending Acceptance
08/20/2026
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
08/20/2026
08/27/2026
IV
100MG
Q24h
Sepsis
Remove - Pending Acceptance

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: