Albarico, Bartolome .

HRN: 23-16-30  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/19/2023
CEFTRIAXONE 1G (VIAL)
06/19/2023
06/26/2023
IV
2g
OD
CAP-MR; Presumptive TB
Waiting Final Action 
06/19/2023
AZITHROMYCIN 500MG TABLET (TAB)
06/19/2023
06/23/2023
PO
500mg
OD
CAP-MR; Presumptive TB
Waiting Final Action 
06/20/2023
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
06/20/2023
06/26/2023
IV
1.5g
Q6
Cap MR
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: