Cunot, Rhema .

HRN: 26-33-69  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/05/2024
CEFTRIAXONE 1G (VIAL)
12/05/2024
12/12/2024
IV
900 Mg
Q24 Hrs
PCAP C
Waiting Final Action 
12/06/2024
CLARITHROMYCIN 125MG/5ML, 60ML SUSPENSION (BOT)
12/06/2024
12/13/2024
IV
3.5ml
Q12
PCAP C
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: