Ambaic, Delia F.

HRN: 22-09-75  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/21/2022
AZITHROMYCIN 500MG TABLET (TAB)
10/21/2022
10/25/2022
ORAL
500 Mg
Q24H
Community Acquired Pneumonia - Moderate Risk
Waiting Final Action 
10/21/2022
CEFTRIAXONE 1G (VIAL)
10/21/2022
10/27/2022
IV
2g
Q24H
Community Acquired Pneumonia - Moderate Risk
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: