Jaid, Farniza .

HRN: 20-37-30  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/26/2023
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
05/26/2023
06/02/2023
IVTT
900mg
Q8h
PCAP D, BA In AE
Checking Final Appropriateness 
06/13/2023
GENTAMICIN 40MG/ML, 2ML (AMP)
06/13/2023
06/13/2023
IV
45mg
OD
PCAP-D
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: