Vasquez, Felisa .

HRN: 23-58-19  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/21/2023
CIPROFLOXACIN 500MG (TAB)
08/21/2023
08/27/2023
PO
500mg
BID
UTI
Waiting Final Action 
08/22/2023
CEFTRIAXONE 1G (VIAL)
08/22/2023
08/28/2023
IV
2g
OD
UTI
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: