Pactol, Zoe Mae .

HRN: 26-51-72  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/14/2025
AMPICILLIN 500MG (VIAL)
01/14/2025
01/21/2025
IV
375mg
Q6hrs
Pcap C
Waiting Final Action 
01/15/2025
CEFUROXIME 1.5GM (VIAL)
01/15/2025
01/21/2025
IV
250mg
Q8 H
PCAP C
Waiting Final Action 
01/19/2025
CLARITHROMYCIN 125MG/5ML, 60ML SUSPENSION (BOT)
01/19/2025
01/25/2025
PO
1.1
Q12
PCAP C
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: