Halios, Susan D.

HRN: 14-02-28  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/04/2025
CEFTRIAXONE 1G (VIAL)
05/04/2025
05/10/2025
IVT
2g
OD
CAP MR
Waiting Final Action 
05/06/2025
CEFTAZIDIME 1GM (VIAL)
05/06/2025
05/13/2025
IV
1g
Q8h
CAP-MR; T/c Chronic Passive Congestion Of Liver
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: