Carreon, Bb Girl .

HRN: 27-95-01  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/15/2025
AMPICILLIN 250MG (VIAL)
10/15/2025
10/22/2025
IVTT
180mg
Q12h
PSNB
Remove - Pending Acceptance
10/15/2025
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
10/15/2025
10/22/2025
IVTT
54mg
Q24h
PSNB
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: