Nango, Teodora .

HRN: 01-24-99  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/07/2022
CEFTRIAXONE 1G (VIAL)
09/07/2022
09/13/2022
IVT
2 G
Once A Day
UTI
Waiting Final Action 
09/07/2022
AZITHROMYCIN 500MG TABLET (TAB)
09/07/2022
09/11/2022
PO
500 Mg
Once A Day
Community Acquired Pneumonia
Waiting Final Action 
09/13/2022
LEVOFLOXACIN 500MG (TAB)
09/13/2022
09/19/2022
PO
500 Mg
OD
UTI
Waiting Final Action 
08/05/2023
CEFTRIAXONE 1G (VIAL)
08/05/2023
08/11/2023
IV
2gm
Q24H
UTI
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: