Batol, Baluran B.

HRN: 11-51-39  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/10/2023
CEFTRIAXONE 1G (VIAL)
02/10/2023
02/16/2023
IV
2g
OD
Cap-mr
Waiting Final Action 
02/10/2023
AZITHROMYCIN 500MG TABLET (TAB)
02/10/2023
02/12/2023
PO
500mg
OD
CAP-MR
Waiting Final Action 

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: