Liging, Nasri M.

HRN: 22-24-60  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/21/2023
NYSTATIN 100,000IU/ML, 30ML SUSPENSION (BOT)
08/21/2023
08/27/2023
ORAL
1ml
TID
Apthous Stomatitis
Waiting Final Action 
08/22/2023
CEFTRIAXONE 1G (VIAL)
08/22/2023
08/28/2023
IV
320mg
Q24
Apthous Stomatitis; Tc Sepsis
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: