Oniot, Bb Boy .

HRN: 21-26-58  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/30/2022
AMPICILLIN 250MG (VIAL)
05/30/2022
06/05/2022
IVT
150 Mg
Q12
Psnb
Waiting Final Action 
05/30/2022
GENTAMICIN 40MG/ML, 2ML (AMP)
05/30/2022
06/04/2022
IVT
15mg
Od
Psnb
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: