Ebarle, Jhayden, -. E.

HRN: 23-28-40  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/30/2023
AMPICILLIN 1GM (VIAL)
06/30/2023
07/07/2023
IVTT
475mg
Q6
PCAP C
Waiting Final Action 
07/02/2023
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
07/02/2023
07/09/2023
IV
50mg
Q8hours
PCAP-C
Waiting Final Action 
07/02/2023
CEFTRIAXONE 1G (VIAL)
07/02/2023
07/09/2023
IV
950mg
OD
PCAP-C
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: