Ellorando, Gen Micah A.

HRN: 22-56-44  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/21/2023
AMPICILLIN 1GM (VIAL)
10/21/2023
10/28/2023
IV
290mg
Q6H
PCAP C
Waiting Final Action 
10/22/2023
CEFUROXIME 750MG (VIAL)
10/22/2023
10/29/2023
IV
250mg
TID
PCAP C
Waiting Final Action 
10/25/2023
CLARITHROMYCIN 125MG/5ML, 60ML SUSPENSION (BOT)
10/25/2023
11/01/2023
ORAL
1ml
BID
Pcap C
Waiting Final Action 
12/23/2023
CEFTRIAXONE 1G (VIAL)
12/23/2023
12/30/2023
IV
750mg
Q24H
PCAP Severe
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

 Indication:

              

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 Compliance to guidelines:



 Initial appropriateness:



 If inappropriate:

           

 Final appropriateness:



 If inappropriate:

              

 Overall appropriateness: