Plao, Gretchen .

HRN: 26-87-78  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/29/2025
AZITHROMYCIN 500MG TABLET (TAB)
03/29/2025
03/31/2025
PO
500mg
OD
CAP-MR
Waiting Final Action 
03/29/2025
CEFAZOLIN 1GM (VIAL)
03/29/2025
04/05/2025
IV
2g
OD
CAP-MR
Waiting Final Action 
04/07/2025
CEFTRIAXONE 1G (VIAL)
03/30/2025
04/08/2025
IVT
2g
OD
CAP MR
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: