Amores, Norberto .

HRN: 18-47-05  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/12/2022
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
11/12/2022
11/12/2022
IV
1.5g
Loading Dose
Aspiration Pneumonia
Waiting Final Action 
11/12/2022
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
11/12/2022
11/18/2022
IV
1.5g
Q6
Aspiration Pneumonia
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: