Biad, Ervin .

HRN: 24-02-67  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/06/2023
CEFUROXIME 750MG (VIAL)
11/06/2023
11/12/2023
IV
500mg
Q8h
UTI
Checking Final Appropriateness 
11/07/2023
CEFTRIAXONE 1G (VIAL)
11/07/2023
11/13/2023
IV DRIP
1.1g
OD
T/c Sepsis
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: