Salinas, Covie .

HRN: 23-12-25  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/29/2023
CEFUROXIME 750MG (VIAL)
05/29/2023
06/04/2023
IV
360mg
Q8
Urti
Waiting Final Action 
05/31/2023
AZITHROMYCIN 200MG/5ML, 15ML SUSPENSION (SUSP)
05/31/2023
06/07/2023
ORAL
3ml
Od
Pcap C
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: