Gemina, Bb Boy .

HRN: 21-83-11  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/22/2022
AMPICILLIN 1GM (VIAL)
08/22/2022
08/22/2022
IVTT
180mg
Q12
Psnb
Waiting Final Action 
08/22/2022
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
08/22/2022
08/29/2022
IVTT
54mg
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: