Mayo, Hadar B.

HRN: 09-72-55  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/19/2023
CEFTRIAXONE 1G (VIAL)
04/19/2023
04/26/2023
IV
2g
Q 24H
Lacerated Wound, Post Auricular Area, R
Waiting Final Action 
04/19/2023
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
04/19/2023
04/26/2023
IV
1.5g
Q8H
Aspiration Pneumonia, Lacerated Wound, Post Auricular Area, R
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: