Magsayo, Arabella Rae .

HRN: 22-11-87  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/27/2022
AMPICILLIN 1GM (VIAL)
10/27/2022
11/03/2022
IV
175 Mg
Q6
PCAP- C
Waiting Final Action 
10/27/2022
GENTAMICIN 40MG/ML, 2ML (AMP)
10/27/2022
11/03/2022
IV
18 Mg
Q24
PCAP-C
Waiting Final Action 
10/31/2022
AZITHROMYCIN 200MG/5ML, 15ML SUSPENSION (SUSP)
10/31/2022
11/07/2022
PO
0.8ml
OD
PCAP C
Waiting Final Action 

AMS Audit Form


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 Indication:

              

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 Compliance to guidelines:



 Initial appropriateness:



 If inappropriate:

           

 Final appropriateness:



 If inappropriate:

              

 Overall appropriateness: