Emia, Samuel O.

HRN: 04-31-46  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/01/2022
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
05/01/2022
05/08/2022
IV
1.5g
Q6hours
Presumptive TB
Waiting Final Action 
05/02/2022
AZITHROMYCIN 500MG TABLET (TAB)
05/02/2022
05/09/2022
PO
500mg
Od
Pneumonia
Waiting Final Action 
05/02/2022
CEFTRIAXONE 1G (VIAL)
05/02/2022
05/09/2022
IV
2g
Od
Pneumonia
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: