Ponce, Juliet, N/A. C.

HRN: 23-16-52  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/20/2023
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
06/21/2023
06/28/2023
IV
1.5 Grams
Q6
Pleural Effusion, Right Secondary To Parapneumonic Process
Waiting Final Action 
06/20/2023
AZITHROMYCIN 500MG TABLET (TAB)
06/21/2023
06/23/2023
ORAL
500 Mg
OD
Pleural Effusion, Right Secondary To 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: