Butlig, Mary Jean .

HRN: 17-09-47  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/27/2023
CEFTAZIDIME 1GM (VIAL)
10/27/2023
11/03/2023
IV
1g
Q8
CAP-MR
Checking Final Appropriateness 
10/27/2023
AZITHROMYCIN 500MG TABLET (TAB)
10/27/2023
10/31/2023
ORAL
500mg/tab
OD
CAP MR Covid RAGT Positive
Checking Final Appropriateness 

AMS Audit Form


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 Indication:

              

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 Compliance to guidelines:



 Initial appropriateness:



 If inappropriate:

           

 Final appropriateness:



 If inappropriate:

              

 Overall appropriateness: