Eballena, Jigger B.

HRN: 18-12-90  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/30/2022
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
05/30/2022
06/05/2022
IVT
310mg
Q6
Pneumonia, UTI
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: