Valdehueza, Kizzy .

HRN: 20-17-20  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/14/2023
AMPICILLIN 1GM (VIAL)
04/14/2023
04/15/2023
IVT
2g
Q6H
PROM
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: