Canales, Vicente .

HRN: 25-62-58  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/03/2024
CEFTRIAXONE 1G (VIAL)
08/03/2024
08/10/2024
IVTT
2g
Q24h
IIH
Waiting Final Action 
08/03/2024
AZITHROMYCIN 500MG TABLET (TAB)
08/03/2024
08/10/2024
PO
500 Mg
Q24h
CAPMR
Waiting Final Action 
08/03/2024
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
08/03/2024
08/10/2024
IV
500 Mg
Q8h
IIH
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: