Saranillo, Karyl Jane .

HRN: 22-93-71  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/21/2023
AMPICILLIN 500MG (VIAL)
04/21/2023
04/27/2023
IVTT
2gm
Q6
PROM
Waiting Final Action 
04/21/2023
CO-AMOXICLAV 625MG (TAB)
04/21/2023
04/28/2023
PO
625mg
BID X 7 Days
2nd Degree Laceration
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: