Salaman, Rolly S.

HRN: 23 40 00  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/25/2023
CEFUROXIME 1.5GM (VIAL)
07/25/2023
07/31/2023
IV
1.5gm
Q8
Acute Uncomplicated UTI
Waiting Final Action 
07/31/2023
AZITHROMYCIN 500MG TABLET (TAB)
07/31/2023
08/31/2023
PO
2 Tabs
Once A Week As Prophylaxis
Immunocompromised State
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: