Alberio, Alona .

HRN: 08-30-42  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/23/2023
AZITHROMYCIN 500MG TABLET (TAB)
10/23/2023
10/28/2023
PO
1 Tab
OD
CAP-MR
Checking Final Appropriateness 
10/23/2023
CEFTRIAXONE 1G (VIAL)
10/23/2023
10/30/2023
IV
2g
OD
CAP-MR
Checking Final Appropriateness 

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: