Catilusa, Florencia R.

HRN: 04-41-55  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/09/2023
CEFTAZIDIME 1GM (VIAL)
10/09/2023
10/15/2023
IV
1gm
Q8
Cap Mr
Waiting Final Action 
10/10/2023
CLARITHROMYCIN 500MG (CAP)
10/10/2023
10/17/2023
PO
500mg
BID
CAP MR; PTB Presumptive; COPD
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: