Lascunia, Jesus O.

HRN: 24-47-37  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/31/2024
CEFTAZIDIME 1GM (VIAL)
01/31/2024
02/07/2024
IV
1gm
Q8
CAP MR
Waiting Final Action 
01/31/2024
AZITHROMYCIN 500MG TABLET (TAB)
01/31/2024
02/05/2024
PO
500mg
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:



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Overall appropriateness: