Acas, Florita M.

HRN: 21-69-00  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/17/2022
CIPROFLOXACIN 500MG (TAB)
07/17/2022
07/24/2022
PO
500mg
Q12
Typhoid IgM
Waiting Final Action 
07/19/2022
CEFTRIAXONE 1G (VIAL)
07/19/2022
07/25/2022
IV
2g
OD
Typhoid
Waiting Final Action 
07/19/2022
AZITHROMYCIN 500MG TABLET (TAB)
07/19/2022
07/23/2022
PO
500mg
OD
CAP MR
Waiting Final Action 
07/19/2022
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
07/19/2022
07/25/2022
IV
1.5g
4x
CAP MR
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: