Ito, Iries B.

HRN: 19-70-42  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/23/2022
AZITHROMYCIN 500MG TABLET (TAB)
06/23/2022
06/29/2022
PO
500 Mg
OD
Empiric
Waiting Final Action 
06/24/2022
CEFUROXIME 1.5GM (VIAL)
06/24/2022
06/30/2022
IV
1.5g
Q8
CXR - Bilateral Pneumonia
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: