Singue, Joel B.

HRN: 24-94-51  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/15/2024
AZITHROMYCIN 500MG TABLET (TAB)
04/15/2024
04/19/2024
PO
500mg
OD
CAP MR
Waiting Final Action 
04/15/2024
CEFUROXIME 1.5GM (VIAL)
04/15/2024
04/21/2024
IVT
1.5
Q8
CAP MR
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: