Montuerto, Matt .

HRN: 22-59-59  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/21/2023
CEFUROXIME 1.5GM (VIAL)
02/21/2023
02/28/2023
IVTT
490mg
Q8
URTI
Waiting Final Action 
02/24/2023
CEFTRIAXONE 1G (VIAL)
02/24/2023
03/02/2023
IV
1.7g
Q24
Pcap
Waiting Final Action 
02/26/2023
AZITHROMYCIN 200MG/5ML, 15ML SUSPENSION (SUSP)
02/26/2023
03/02/2023
ORAL
4.2
OD
Pcap
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: