Romo, Elizabeth O.

HRN: 23-54-19  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/16/2023
AZITHROMYCIN 500MG TABLET (TAB)
08/16/2023
08/20/2023
PO
500mg
OD
CAP MR
Waiting Final Action 
08/16/2023
CEFTRIAXONE 1G (VIAL)
08/16/2023
08/23/2023
IV
2gms
OD
CAP MR
Waiting Final Action 
08/17/2023
AZITHROMYCIN 500MG TABLET (TAB)
08/17/2023
08/21/2023
ORAL
500mg
OD
CAP-MR
Waiting Final Action 
08/19/2023
AZITHROMYCIN 500MG TABLET (TAB)
08/21/2023
08/22/2023
PO
500mg
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: