Dacula, Nicolas .

HRN: 24-44-66  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/20/2024
CEFTRIAXONE 1G (VIAL)
01/20/2024
01/26/2024
IV
2g
Od
Cap Mr
Waiting Final Action 
01/20/2024
AZITHROMYCIN 500MG TABLET (TAB)
01/20/2024
01/24/2024
PO
500mg
Od
Cap Mr
Waiting Final Action 
01/27/2024
CEFIXIME 200MG (CAP)
01/27/2024
02/02/2024
PO
200mg/cap
BID
CAP-MR
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: