Sambial, Noel P.

HRN: 21-73-16  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/06/2022
AZITHROMYCIN 500MG TABLET (TAB)
08/06/2022
08/10/2022
PO
500mg
Q24
Cap Mr, Presumptive Ptb
Waiting Final Action 
08/06/2022
CEFTRIAXONE 1G (VIAL)
08/06/2022
08/12/2022
IVT
2gms
Q24
Cap Mr, Presumptive Ptb
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: