Gooc, Wendyl H.

HRN: 26-70-32  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/11/2025
AZITHROMYCIN 500MG TABLET (TAB)
02/11/2025
02/15/2025
ORAL
500mg
OD
CAP MR
Waiting Final Action 
02/11/2025
CEFUROXIME 1.5GM (VIAL)
02/11/2025
02/18/2025
IV
1.5 Grams
Q8
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: