Martinez, Pamela T.

HRN: 21-89-20  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/13/2022
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
09/13/2022
09/20/2022
IV
500mg
Q8
Infectious Diarrhea
Waiting Final Action 
09/14/2022
CIPROFLOXACIN 500MG (TAB)
09/14/2022
09/20/2022
PO
500 Mg
Bid
Infectious Diarrhea; UTI
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: