Manuel, Zed .

HRN: 22-07-65  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/19/2022
CEFTRIAXONE 1G (VIAL)
10/19/2022
10/26/2022
IVTT
700mg
Q24
Pcap
Waiting Final Action 
10/19/2022
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
10/19/2022
10/26/2022
IVTT
105mg
Q24
Pcap
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: