Ojas, Hilda G.

HRN: 10-82-76  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/06/2022
AZITHROMYCIN 500MG TABLET (TAB)
11/06/2022
11/10/2022
PO
500mg
Od
Cap Mr, T/c Copd In Ae
Waiting Final Action 
11/06/2022
CEFTRIAXONE 1G (VIAL)
11/06/2022
11/12/2022
IVT
2gms
Od
Cap Mr, T/c Copd In Ae
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: