Salazar, Eaross Jay .

HRN: 22-76-88  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/15/2023
CEFTRIAXONE 1G (VIAL)
10/15/2023
10/21/2023
IV
800mg
OD
PCAP C
Waiting Final Action 
10/15/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
10/15/2023
10/21/2023
IV
80mg
Q8
Age With Moderate Dehydration
Waiting Final Action 
10/18/2023
CEFIXIME 20MG/ML, 10ML DROPS (BOT)
10/18/2023
10/21/2023
PO
1.6ml
BID
PCAP-C
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

 Indication:

              

 Type of Infection:

                             

           

 Compliance to guidelines:



 Initial appropriateness:



 If inappropriate:

           

 Final appropriateness:



 If inappropriate:

              

 Overall appropriateness: