Bios, Rolando G.

HRN: 06-38-69  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/13/2024
DOXYCYCLINE 100MG (CAP)
01/13/2024
01/23/2024
PO
PO
BID
Epididymoorchitis
Waiting Final Action 
01/13/2024
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
01/13/2024
01/20/2024
IV
500mg
Q8
Incarcerated IIH
Waiting Final Action 
01/13/2024
CEFTRIAXONE 1G (VIAL)
01/13/2024
01/20/2024
IV
2gm
OD
Incarcerated IIH, Epididymoorchitis
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: