Clam, Je-ev H.

HRN: 29-33-76  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/20/2026
CEFTRIAXONE 1G (VIAL)
07/20/2026
07/26/2026
IV
2g
Od
Cap Mr
Checking Final Appropriateness 
07/20/2026
AZITHROMYCIN 500MG TABLET (TAB)
07/20/2026
07/24/2026
ORA
500mg
Od
Cap Mr
Checking Final Appropriateness 
07/23/2026
CEFUROXIME 500MG (TAB)
07/23/2026
07/30/2026
PO
500mg
BID
PTB, BC, RS; DF WITH WS
Remove - Pending Acceptance

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: