Jaid, Farnisa J.

HRN: 49  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/09/2022
AMPICILLIN 500MG (VIAL)
04/09/2022
04/06/2022
IV
400mg
Q6h
PNEUMONIA
Waiting Final Action 
04/10/2022
CEFTRIAXONE 1G (VIAL)
04/10/2022
04/15/2022
IV
800mg
OD
PCAP D
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: