Banac, Sayros A.

HRN: 24-13-78  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/27/2023
CEFTRIAXONE 1G (VIAL)
11/27/2023
12/03/2023
IV
2 Grams
OD
Cap Mr
Waiting Final Action 
11/27/2023
AZITHROMYCIN 500MG TABLET (TAB)
11/27/2023
12/01/2023
PO
500 Mg
OD
Cap Mr
Waiting Final Action 

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: