Hamelie, Pacit S.

HRN: 21-41-48  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/31/2022
AZITHROMYCIN 500MG TABLET (TAB)
05/31/2022
06/05/2022
NGT
500mg
Od
CAP-MR
Waiting Final Action 
05/31/2022
CEFTRIAXONE 1G (VIAL)
05/31/2022
06/07/2022
IVTT
2gm
OD
CAP-MR
Waiting Final Action 
05/31/2022
CEFTRIAXONE 1G (VIAL)
05/31/2022
06/07/2022
IVTT
2gm
OD
CAP-MR
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: