Muhajiran, Abdul Nakir B.

HRN: 22-28-38  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/02/2022
AMPICILLIN 250MG (VIAL)
12/02/2022
12/09/2022
IV
200mg
Q6
Near Drowning
Waiting Final Action 
12/02/2022
CEFTRIAXONE 1G (VIAL)
12/02/2022
12/09/2022
IV
1.1g
Q24
Aspiration Pnemonia
Waiting Final Action 
12/03/2022
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
12/03/2022
12/10/2022
IV
60mg
Q12hours
Aspiration Pneumonia
Waiting Final Action 
12/03/2022
AZITHROMYCIN 200MG/5ML, 15ML SUSPENSION (SUSP)
12/03/2022
12/07/2022
PER NGT
2.9ml
OD
Aspiration Pneumonia
Waiting Final Action 
12/04/2022
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
12/04/2022
12/11/2022
IV
115ng
Q8hours
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: