Dingal, Airone Jay .

HRN: 21-59-93  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/20/2022
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
07/20/2022
07/26/2022
IVT
200mg
Q6
PCAP C
Waiting Final Action 
08/12/2022
CEFTRIAXONE 1G (VIAL)
08/12/2022
08/18/2022
IV
500mg
OD
PCAP C
Waiting Final Action 
08/12/2022
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
08/12/2022
08/18/2022
IVT
75
Q24
PCAP C
Waiting Final Action 
08/14/2022
SILVER SULFADIAZINE 1%, 25G CREAM (TUBE)
08/14/2022
08/20/2022
TOPICAL
As Needed
Od X7 Days
Skin Burn
Waiting Final Action 
08/17/2022
CEFIXIME 100MG/5ML, 60ML SUSPENSION (BOT)
08/17/2022
08/24/2022
PO
1 Ml
BID
PCAP C
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: