Elejino, Juanita R.

HRN: 22-81-29  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/31/2023
CLARITHROMYCIN 500MG (CAP)
03/31/2023
04/07/2023
PO
500mg
BID
Helicobacter Pylori Infection
Waiting Final Action 
03/31/2023
AMOXICILLIN 500MG CAPSULE (CAP)
03/31/2023
04/07/2023
PO
1gm
BID
Helicobacter Pylori Infection
Waiting Final Action 
04/04/2023
CEFTRIAXONE 1G (VIAL)
04/04/2023
04/10/2023
IV
2g
OD
UTI
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: