Majid, Bayanan C.

HRN: 23-13-79  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/09/2023
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
06/09/2023
06/16/2023
IV
1.5gm
Q6
CAP MR
Waiting Final Action 
06/09/2023
AZITHROMYCIN 500MG TABLET (TAB)
06/09/2023
06/13/2023
PO
500mg
OD
CAP MR
Waiting Final Action 
06/13/2024
CEFTRIAXONE 1G (VIAL)
06/13/2024
06/19/2024
IV
2g
Q24H
CAP MR
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: