Pingkian, Lenny M.

HRN: 23-52-83  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/14/2023
AMPICILLIN 1GM (VIAL)
08/14/2023
08/16/2023
IV
2 G
Q6 Hour
Leaking BOW
Checking Final Appropriateness 
08/16/2023
CEFUROXIME 500MG (TAB)
08/16/2023
08/22/2023
ORAL
500mg
BID
Thickly MSAF
Checking Final Appropriateness 
08/16/2023
METRONIDAZOLE 500MG (TAB)
08/16/2023
08/22/2023
ORAL
500mg
Tid
Thickly MSAF
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: