Fajardo, Avianna Catrize .

HRN: 21-48-04  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/27/2022
CEFTRIAXONE 1G (VIAL)
05/27/2022
06/03/2022
IV
345
Q12
Pcap C
Waiting Final Action 
10/09/2022
CEFTRIAXONE 1G (VIAL)
10/09/2022
10/16/2022
IVT
670
Q24
PCAP C; AGE Prob Dysentery
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: