Edris, Jainodin D.

HRN: 23 12 60  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/31/2023
CEFTRIAXONE 1G (VIAL)
05/31/2023
06/06/2023
IV
2gm
OD
Parapneumonic Process
Waiting Final Action 
05/31/2023
AZITHROMYCIN 500MG TABLET (TAB)
05/31/2023
06/04/2023
PO
500mg
OD
Parapneumonic Process
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: