Daulong, Markclent .

HRN: 23-00-07  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/03/2025
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
02/03/2025
02/10/2025
IV
350mg
Q6h
Pneumonia
Checking Final Appropriateness 
02/03/2025
CLARITHROMYCIN 250 MG/5ML
02/03/2025
02/10/2025
PO
1.4ml
BID
Pneumonia
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: