Gerra, Felix E.

HRN: 22-69-41  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/07/2023
CEFTRIAXONE 1G (VIAL)
03/07/2023
03/14/2023
IV
2g
Q24h
Pneumonia
Waiting Final Action 
03/07/2023
AZITHROMYCIN 500MG TABLET (TAB)
03/07/2023
03/14/2023
PO
500mg
Od
Pneumonia
Waiting Final Action 
03/21/2023
CLINDAMYCIN 150MG/ML, 4ML (AMP)
03/21/2023
03/28/2023
IV
600 Mg
Q8H
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: