Damole, Ruben M.

HRN: 23-94-14  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/19/2023
CEFTRIAXONE 1G (VIAL)
10/19/2023
10/26/2023
IV
2g
Od
CAP MR
Waiting Final Action 
10/21/2023
AZITHROMYCIN 500MG TABLET (TAB)
10/21/2023
10/25/2023
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: