Acabal, Bb Boy .

HRN: 24-06-38  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/03/2023
AMPICILLIN 500MG (VIAL)
12/03/2023
12/10/2023
IV
205mg
Q12
PSNB
Waiting Final Action 
12/03/2023
GENTAMICIN 40MG/ML, 2ML (AMP)
12/03/2023
12/10/2023
IV
20.5mg
Q24
PSNB
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: