Mama, Jaher D.

HRN: 22-54-51  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/22/2024
AMPICILLIN 500MG (VIAL)
04/22/2024
04/28/2024
IVT
400mg
Q6
Sepsis
Waiting Final Action 
04/24/2024
CEFUROXIME 750MG (VIAL)
04/24/2024
04/24/2024
IV
375mg
Q 8 Hours
AGE With Moderate Dehydration
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: