Albarico, Remedios L.

HRN: 23-72-71  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/25/2023
AZITHROMYCIN 500MG TABLET (TAB)
11/25/2023
11/29/2023
ORAL
500mg/tab
OD
CAP-MR
Checking Final Appropriateness 
11/25/2023
CEFTRIAXONE 1G (VIAL)
11/25/2023
12/02/2023
IV
2grams
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: