Sicad, Angel .

HRN: 00-12-34  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/03/2023
AMPICILLIN 1GM (VIAL)
10/03/2023
10/04/2023
IV
2g
Q6h
PROM
Waiting Final Action 
10/03/2023
CO-AMOXICLAV 625MG (TAB)
10/03/2023
10/10/2023
PO
625 Mg
BID
PROM X 17 Hours
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: