Ganduhao, Bby Girl .

HRN: 22-18-87  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/19/2022
AMPICILLIN 500MG (VIAL)
11/19/2022
11/26/2022
IV
160mg
Q12
PSNB
Waiting Final Action 
11/19/2022
GENTAMICIN 40MG/ML, 2ML (AMP)
11/19/2022
11/26/2022
IVTT
16
Q24
Psnb
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: