Majid, Bayanan C.

HRN: 23-13-79  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/17/2024
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
11/17/2024
11/24/2024
IV
1.5gms
Q6H
CAP MR
Waiting Final Action 
11/17/2024
LEVOFLOXACIN 500MG (TAB)
11/17/2024
11/21/2024
ORAL
500mg/tab
OD
CAP MR
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: