Jailati, Elnie .

HRN: 23-15-03  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/10/2023
CEFTRIAXONE 1G (VIAL)
06/10/2023
06/16/2023
IV
450mg
Q24
Infectious Diarrhea
Waiting Final Action 
06/10/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
06/10/2023
06/16/2023
IV
75mg
Q8
Infectious Diarrhea
Waiting Final Action 
06/10/2023
OXACILLIN 500MG (VIAL)
06/10/2023
06/16/2023
IV DRIP
115 Mg
Q6
Bacterial Skin Infection
Waiting Final Action 

AMS Audit Form


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Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: