Sano, Rochelle A.

HRN: 12-49-93  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/16/2022
CEFUROXIME 750MG (VIAL)
10/16/2022
10/23/2022
IVTT
750mg
Q8h
Pcap
Waiting Final Action 
10/17/2022
AMOXICILLIN 500MG CAPSULE (CAP)
10/17/2022
10/27/2022
ORAL
500mg
BID
H Pylori Infection
Waiting Final Action 
10/17/2022
CLARITHROMYCIN 500MG (CAP)
10/17/2022
10/27/2022
ORAL
500mg
BID
H Pylori Infection
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: