Quirante, Melchor C.

HRN: 22 66 15  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/18/2023
CEFUROXIME 1.5GM (VIAL)
02/18/2023
02/24/2023
IV
1.5gm
Q8
Pneumonia
Waiting Final Action 
02/18/2023
AZITHROMYCIN 500MG TABLET (TAB)
02/18/2023
02/22/2023
PO
500mg
OD
Pneumonia
Waiting Final Action 
02/22/2023
CEFTRIAXONE 1G (VIAL)
02/22/2023
02/28/2023
IVT
2g
OD
Pneumonia
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: