Nesnia, Epheso Xander A.

HRN: 18-61-95  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/05/2022
AMPICILLIN 500MG (VIAL)
11/05/2022
11/12/2022
IV
275mg
Q6hours
URTI
Waiting Final Action 
11/06/2022
CO-AMOXICLAV 457MG/5ML, 70ML SUSPENSION (BOT)
11/06/2022
11/12/2022
PO
2ml
BID
URTI
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: