Ramos, Glenn P.

HRN: 03-47-34  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/22/2022
CEFUROXIME 500MG (TAB)
08/22/2022
08/28/2022
ORAL
500mg
BID
Covid19
Waiting Final Action 
08/22/2022
AZITHROMYCIN 500MG TABLET (TAB)
08/22/2022
08/26/2022
ORAL
500mg
OD
Covid 19
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: