Malali, Radiya J.

HRN: 08-17-90  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/22/2023
CEFTRIAXONE 1G (VIAL)
07/22/2023
07/29/2023
IV DRIP
2.5G
Now Then OD
UTI
Waiting Final Action 
07/26/2023
NYSTATIN 100,000IU/ML, 30ML SUSPENSION (BOT)
07/26/2023
08/01/2023
PO
1ml
Q8h
Oral Ulcers
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: