Yano, Shiza Doaa .

HRN: 23-65-42  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/05/2023
CEFTRIAXONE 1G (VIAL)
09/05/2023
09/12/2023
IV
730mg
OD
PCAP C
Waiting Final Action 
09/05/2023
NYSTATIN 100,000IU/ML, 30ML SUSPENSION (BOT)
09/05/2023
09/12/2023
PO
0.5ml
Tid
Aphthous Stomatitis
Waiting Final Action 
09/05/2023
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
09/05/2023
09/12/2023
IV
110
OD
PCAP C
Waiting Final Action 
09/09/2023
MUPIROCIN 2%, 15G (TUBE)
09/09/2023
09/13/2023
TOPICAL
Apply Thinly
BID
Infected Wound
Waiting Final Action 

AMS Audit Form


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 Indication:

              

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 Compliance to guidelines:



 Initial appropriateness:



 If inappropriate:

           

 Final appropriateness:



 If inappropriate:

              

 Overall appropriateness: