Mehid, Eden G.

HRN: 20-57-63  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/19/2023
CEFTRIAXONE 1G (VIAL)
05/22/2023
05/29/2023
IV
2 G
OD
Complicated UTI
Checking Final Appropriateness 
02/07/2024
CEFTRIAXONE 1G (VIAL)
02/07/2024
02/14/2024
IV
2g
OD
Lacerated Wound
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: