Edal, Baby Boy .

HRN: 24 67 89  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/06/2024
CEFTAZIDIME 1GM (VIAL)
04/06/2024
04/13/2024
INTRAVENOUS
175 Mg
Every 8 Hours
Empiric
Waiting Final Action 
04/06/2024
OXACILLIN 500MG (VIAL)
04/06/2024
04/13/2024
INTRAVENOUS
90 Mg
Every 12 Hours
Empiric
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: