Naveros, Jhon Noah N.

HRN: 22-99-77  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/05/2023
MEBENDAZOLE 100MG/5ML, 60ML SUSPENSION
05/05/2023
05/09/2023
PO
5ml
BID
ASCARIASIS
Waiting Final Action 
05/05/2023
MEBENDAZOLE 100MG/5ML, 60ML SUSPENSION
05/05/2023
05/09/2023
PO
5ml
BID
ASCARIASIS
Waiting Final Action 
05/05/2023
MEBENDAZOLE 100MG/5ML, 60ML SUSPENSION
05/05/2023
05/09/2023
PO
5ml
BID
ASCARIASIS
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: