Pasturan, Cymryel Gold .

HRN: 24-94-20  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/18/2024
CEFTAZIDIME 1GM (VIAL)
04/18/2024
04/24/2024
IV
120mg
Q8
AGE
Waiting Final Action 
04/18/2024
GENTAMICIN 40MG/ML, 2ML (AMP)
04/18/2024
04/24/2024
IV
18mg
OD
AGE
Waiting Final Action 
04/18/2024
METRONIDAZOLE 125MG/5ML, 60ML (BOT)
04/18/2024
04/24/2024
PO
1.5ml
BID
AGE
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: