Alvaro, Baby Girl .

HRN: 23-52-82  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/14/2023
CEFTRIAXONE 1G (VIAL)
08/14/2023
08/20/2023
IVT
480mg
Od
Sepsis
Checking Final Appropriateness 
08/14/2023
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
08/14/2023
08/20/2023
IVT
72mg
Od
Sepsis
Checking Final Appropriateness 
08/15/2023
CEFTAZIDIME 1GM (VIAL)
08/15/2023
08/21/2023
IV DRIP
250 Mg
Q8
Sepsis
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: