Balde, Jodelyn .

HRN: 28-51-31  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/01/2026
CEFUROXIME 1.5GM (VIAL)
02/01/2026
02/08/2026
IVT
1.5g
Q8
Acute Pyelonephritis
Checking Initial Appropriateness 
02/02/2026
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
02/02/2026
02/08/2026
IV
195mg
Q8
Acute Pyelonephritis
Checking Initial 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: