Manabtab, Samantha R.

HRN: 19-49-24  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/25/2022
CEFUROXIME 750MG (VIAL)
07/25/2022
08/01/2022
IV
300
Q8
Pcap
Waiting Final Action 
07/25/2022
CLARITHROMYCIN 125MG/5ML, 60ML SUSPENSION (BOT)
07/25/2022
08/01/2022
IV
4ml
Bid
Pcap
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: