Omaya, Eduardo J.

HRN: 22-30-75  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/06/2023
CEFTRIAXONE 1G (VIAL)
04/06/2023
04/13/2023
IV
2g
Q24h
Uti
Waiting Final Action 
04/10/2023
AZITHROMYCIN 500MG TABLET (TAB)
04/10/2023
04/15/2023
PO
500mg
OD
Pneumonia
Waiting Final Action 
04/14/2023
AZITHROMYCIN 500MG TABLET (TAB)
04/14/2023
04/17/2023
PO
500 Mg
OD
Pneumonia
Waiting Final Action 
04/14/2023
CIPROFLOXACIN 500MG (TAB)
04/14/2023
04/21/2023
PO
500 Mg
BID
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: