Bagasan, Mohammaden .

HRN: 24-07-32  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/08/2023
CEFTRIAXONE 1G (VIAL)
11/08/2023
11/14/2023
IV
1g
Q12
T/C Acute Appendicitis
Checking Final Appropriateness 
11/08/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
11/08/2023
11/14/2023
IV
500mg
Q8
T/C Acute Appendicitis
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: