Anggaya, Nethan .

HRN: 20-12-87  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/23/2023
BENZYL PENICILLIN 5MU (VIAL)
04/23/2023
04/30/2023
IVTT
385,000
Q6
DIPHTHERIA
Waiting Final Action 
04/25/2023
CO-AMOXICLAV 457MG/5ML, 70ML SUSPENSION (BOT)
04/25/2023
05/02/2023
IV
2.5ml
Bid
Acute Tonsilo Pharyngitis
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: