Maquiling, Sun P.

HRN: 21-23-33  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/11/2022
AZITHROMYCIN 200MG/5ML, 15ML SUSPENSION (SUSP)
04/11/2022
04/18/2022
IV
3ML
3X A DAY
PCAPC
Waiting Final Action 
04/09/2022
AMPICILLIN 500MG (VIAL)
04/06/2022
04/09/2022
IV
650MG
Q6H
PCAP-C
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: