Derit, Jebheart T.

HRN: 26-32-96  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/30/2025
CEFUROXIME 750MG (VIAL)
03/30/2025
04/06/2025
IV
500mg
Q8H
PCAP C
Waiting Final Action 
03/30/2025
CEFTRIAXONE 1G (VIAL)
03/30/2025
04/07/2025
IV
1.5g
OD
Pcap
Waiting Final Action 
04/03/2025
AZITHROMYCIN 200MG/5ML, 15ML SUSPENSION (SUSP)
04/03/2025
04/08/2025
PO
4ml
Q24hours
PCAP-C
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: