Pugate, Fortunato .

HRN: 17-67-76  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/28/2023
CEFTRIAXONE 1G (VIAL)
06/28/2023
07/05/2023
IV
2g
OD
Complicated UTI
Waiting Final Action 
07/01/2023
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
07/01/2023
07/08/2023
IV
1.5 Grams
Q6H
Complicated UTI
Waiting Final Action 
07/03/2023
CLARITHROMYCIN 500MG (CAP)
07/03/2023
07/10/2023
ORAL
500mg
BID
H Pylori Infection
Waiting Final Action 
09/08/2023
AMOXICILLIN 500MG CAPSULE (CAP)
09/08/2023
09/21/2023
ORAL
2 Caps
BID
H Pylori Infection
Waiting Final Action 
09/08/2023
CLARITHROMYCIN 500MG (CAP)
09/08/2023
09/21/2023
ORAL
1 Tab
OD
H Pylori Infection
Waiting Final Action 
09/15/2023
CEFTRIAXONE 1G (VIAL)
09/15/2023
09/21/2023
2G
IV
OD
UGIB Sec To H Pylori Infection
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: