Amban, Charie A.

HRN: 23-35-47  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/08/2025
CEFUROXIME 750MG (VIAL)
02/08/2025
02/14/2025
IVT
400mg
Q8
PCAP-C
Waiting Final Action 
02/10/2025
AZITHROMYCIN 200MG/5ML, 15ML SUSPENSION (SUSP)
02/10/2025
02/14/2025
ORAL
3.5ml
OD
PCAP-C
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: