Grana, Richien Y.

HRN: 23 36 06  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/20/2023
CEFTRIAXONE 1G (VIAL)
07/20/2023
07/26/2023
IV
2gm
OD
T/c Urosepsis
Waiting Final Action 
07/20/2023
CEFTRIAXONE 1G (VIAL)
07/20/2023
07/26/2023
IV
2gm
OD
T/c Urosepsis
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: