Saban, Muslima .

HRN: 23-37-55  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/18/2023
AMPICILLIN 1GM (VIAL)
07/18/2023
07/25/2023
IV
250
Q6
PCAP-C
Checking Final Appropriateness 
07/18/2023
CEFTRIAXONE 1G (VIAL)
07/18/2023
07/25/2023
IV
730
Q24h
PCAP-C
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: