Aslani, Jack Perez .

HRN: 22-76-89  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/19/2025
CEFTRIAXONE 1G (VIAL)
10/19/2025
10/26/2025
IV
1gm
Q24
PCAP C
Waiting Final Action 
10/22/2025
CLARITHROMYCIN 125MG/5ML, 60ML SUSPENSION (BOT)
10/22/2025
10/29/2025
PO
3ml
BID
PCAP With HRAD
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: