Camad, Afrah .

HRN: 25-57-75  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/14/2024
AMPICILLIN 1GM (VIAL)
02/14/2024
02/20/2024
IVT
170mg
Q12
Pcap C
Waiting Final Action 
02/14/2024
GENTAMICIN 40MG/ML, 2ML (AMP)
02/14/2024
02/20/2024
IVT
17mg
Q24
Pcap C
Waiting Final Action 
02/16/2024
CEFUROXIME 750MG (VIAL)
02/16/2024
02/22/2024
IV
114mg
Q8hrs
PCAP
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: