Pobadora, Sophia Rose .

HRN: 23-88-50  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/25/2023
CEFTRIAXONE 1G (VIAL)
11/25/2023
12/02/2023
IV DRIP
300mg
OD
PCAP C
Waiting Final Action 
11/27/2023
AZITHROMYCIN 200MG/5ML, 15ML SUSPENSION (SUSP)
11/27/2023
12/04/2023
OU
1ml
Od
PCAP C
Waiting Final Action 
11/27/2023
NYSTATIN 100,000IU/ML, 30ML SUSPENSION (BOT)
11/27/2023
12/04/2023
ORAL
1ml
Qid
PCAP C
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: