Pamplona, Aizhyl Nhyl .

HRN: 19-01-49  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/05/2022
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
10/05/2022
10/12/2022
IVT
417mg
Q6
AGE; T/C UTI
Waiting Final Action 
10/05/2022
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
10/05/2022
10/12/2022
IVT
290mg
Q6
AGe; T/C UTI
Waiting Final Action 
10/05/2022
CEFTRIAXONE 1G (VIAL)
10/05/2022
10/11/2022
IVT
450mg
Q12h
Typhoid Fever
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: