Padayao, Bby Boy .

HRN: 22-39-52  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/28/2023
AMPICILLIN 500MG (VIAL)
01/28/2023
02/04/2023
IVTT
130mg
Q12
Psnb
Waiting Final Action 
01/28/2023
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
01/28/2023
02/04/2023
IVTT
40mg
Q24
Psnb
Waiting Final Action 

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: