Bandara, Abdullah D.

HRN: 23-70-65  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/11/2023
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
09/11/2023
09/18/2023
IV
130mg
Q6
PCAP C
Checking Final Appropriateness 
09/13/2023
CEFTRIAXONE 1G (VIAL)
09/13/2023
09/19/2023
IV
400mg
7days
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: