Betarmos, Ruel C.

HRN: 23-08-73  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/22/2023
CEFTRIAXONE 1G (VIAL)
05/22/2023
05/29/2023
IV
2g
OD
CAP-MR
Waiting Final Action 
05/22/2023
AZITHROMYCIN 500MG TABLET (TAB)
05/22/2023
05/25/2023
PO
500mg
OD
CAP-MR
Waiting Final Action 
05/27/2023
AZITHROMYCIN 500MG TABLET (TAB)
05/27/2023
05/28/2023
ORAL
500 Mg
Q24H
Community Acquired Pneumonia - Moderate Risk
Waiting Final Action 
05/30/2023
CEFTRIAXONE 1G (VIAL)
05/30/2023
06/07/2023
IV
2 Grams
OD
Cap Mr
Waiting Final Action 
05/22/2023
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
05/30/2023
06/06/2023
IV
1.5gram
Q6hrs
CAP-MR
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: