Mayo, Wilson M.

HRN: 18-26-15  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/29/2023
CEFTRIAXONE 1G (VIAL)
06/29/2023
07/05/2023
IV
2 Grams
Od
Cap Mr
Waiting Final Action 
06/29/2023
AZITHROMYCIN 500MG TABLET (TAB)
06/29/2023
07/05/2023
PO
500 Mg
OD
Cap Mr
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: