Ediang, Jan Stelle Faye .

HRN: 20-46-06  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/04/2023
CEFUROXIME 1.5GM (VIAL)
11/04/2023
11/10/2023
IVT
400mg
Q8
Pcap C
Checking Final Appropriateness 
11/06/2023
AZITHROMYCIN 200MG/5ML, 15ML SUSPENSION (SUSP)
11/06/2023
11/10/2023
PO
3ml
Once A Day
PCAP C
Checking Final Appropriateness 
11/11/2023
CEFTRIAXONE 1G (VIAL)
11/11/2023
11/17/2023
IV
1g
OD
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: