Quicoy, Acelyn .

HRN: 25-71-73  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/19/2024
AMPICILLIN 250MG (VIAL)
08/19/2024
08/26/2024
IV
130mg
Q12
Sepsis
Waiting Final Action 
08/19/2024
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
08/19/2024
08/26/2024
IV
35mg
Q24
Sepsis
Waiting Final Action 
08/20/2024
CEFTRIAXONE 1G (VIAL)
08/20/2024
08/26/2024
IV
125mg
Q12
Sepsis
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: