Pasco, Asher G.

HRN: 24-36-50  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/15/2024
CEFUROXIME 750MG (VIAL)
03/15/2024
03/21/2024
IV
130mg
Q8
PCAP-D
Waiting Final Action 
03/22/2024
FLUCONAZOLE 2MG/ML, 100ML (VIAL)
03/22/2024
03/29/2024
IV
46.8 Mg Loading, 23.4 Maintenance
Q 24
PCAP-D
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: