Clarion, Aaron G.

HRN: 24-76-01  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/26/2024
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
04/26/2024
05/03/2024
IV
200mg
Q 6 Hours
PCAP-C
Waiting Final Action 
04/26/2024
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
04/26/2024
05/03/2024
IV
30mg
Q 12
PCAP-C
Waiting Final Action 
09/08/2024
AMPICILLIN 500MG (VIAL)
09/08/2024
09/15/2024
IV
375mg
Q6H
PCAP-C
Rejected 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: