Allo, Erlyn G.

HRN: 12-42-26  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/15/2022
AZITHROMYCIN 500MG TABLET (TAB)
08/15/2022
08/19/2022
PO
500mg
OD
CAP MR
Waiting Final Action 
08/15/2022
CEFTRIAXONE 1G (VIAL)
08/15/2022
08/23/2022
IV
2g
OD
CAP-MR
Waiting Final Action 
04/19/2023
CEFTAZIDIME 1GM (VIAL)
04/19/2023
04/26/2023
IV
1gm
Q6H
CAP MR; T/C PTB Relapse
Waiting Final Action 
04/21/2023
CEFTRIAXONE 1G (VIAL)
04/21/2023
04/28/2023
IV
1gm
OD
UTI
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: