Adorable, Judielyn O.

HRN: 23-13-54  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/07/2023
CEFUROXIME 500MG (TAB)
06/07/2023
06/13/2023
PO
500mg
BID
URTI
Waiting Final Action 
06/10/2023
ACICLOVIR 400MG (TAB)
06/10/2023
06/17/2023
ORAL
500mg
OD
Urti
Waiting Final Action 
06/10/2023
AZITHROMYCIN 500MG TABLET (TAB)
06/10/2023
06/14/2023
PO
500 Mg
Once Daily
CAP LR
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: