Hunis, Narcisa .

HRN: 23-35-21  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/18/2023
CEFTRIAXONE 1G (VIAL)
07/18/2023
07/24/2023
IV
2g
OD
Cap Mr
Waiting Final Action 
07/18/2023
AZITHROMYCIN 500MG TABLET (TAB)
07/18/2023
07/21/2023
PO
500mg
OD
Cap Mr
Waiting Final Action 
03/27/2026
CLINDAMYCIN 300MG (CAP)
03/27/2026
04/03/2026
PO
300mg
Q8H
Infected Wound
Remove - Pending Acceptance

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: