Isnain, Baby Girl I.

HRN: 22-05-72  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/07/2022
AMPICILLIN 500MG (VIAL)
10/07/2022
10/14/2022
IV
270mg
Q6
Pcap C
Waiting Final Action 
10/08/2022
CEFUROXIME 750MG (VIAL)
10/08/2022
10/15/2022
IV
240mg
Q8hours
UTI
Waiting Final Action 
10/08/2022
METRONIDAZOLE 125MG/5ML, 60ML (BOT)
10/08/2022
10/15/2022
PO
3ml
Q8hours
Amoebiasis
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: