Jerusalem, Arnold G.

HRN: 24-70-56  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/24/2024
CEFTRIAXONE 1G (VIAL)
03/24/2024
03/31/2024
IV
2g
Q24
Skin And Soft Tissue Infection
Waiting Final Action 
03/25/2024
CLOXACILLIN 500MG (CAP)
03/25/2024
04/01/2024
ORAL
500mg
Q6hours
Skin And Soft Tissue Infection
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: