Hamid, Kardo .

HRN: 21-35-28  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/05/2022
AMPICILLIN 500MG (VIAL)
10/05/2022
10/12/2022
IV
200mg
Q6hours
AGE With Moderate Dehydration
Waiting Final Action 
10/05/2022
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
10/05/2022
10/12/2022
IV
65mg
Q8hours
AGE With Severe Dehydration
Waiting Final Action 
10/06/2022
CEFTRIAXONE 1G (VIAL)
10/06/2022
10/12/2022
IV
500mg
OD
Sepsis
Waiting Final Action 
12/13/2022
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
12/13/2022
12/19/2022
IVT
175
Q6hrs
Pcap C
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: