Dua, Bb Boy .

HRN: 24-90-69  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/08/2024
AMPICILLIN 500MG (VIAL)
05/08/2024
05/15/2024
IV
145
Q12
PSND
Waiting Final Action 
05/08/2024
GENTAMICIN 40MG/ML, 2ML (AMP)
05/08/2024
05/15/2024
IV
14.5
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: