Nongo, Tony .

HRN: 00-48-57  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/31/2023
CEFTRIAXONE 1G (VIAL)
03/31/2023
04/07/2023
IV
2g
OD
CAP MR
Waiting Final Action 
03/31/2023
AZITHROMYCIN 500MG TABLET (TAB)
03/31/2023
04/04/2023
PO
IV
OD
CAP MR
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: