Egos, Baby Girl .

HRN: 23-52-58  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/12/2023
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
08/12/2023
08/18/2023
IVTT
130
Q6
Pcap C
Checking Final Appropriateness 
08/12/2023
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
08/12/2023
08/18/2023
IVTT
50mg
0d
Pcap-c
Checking Final Appropriateness 
08/14/2023
CEFUROXIME 750MG (VIAL)
08/14/2023
08/21/2023
IV
120mg
Q8
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: