Luzon, Zosima O.

HRN: 20-65-87  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/08/2023
CEFTRIAXONE 1G (VIAL)
06/08/2023
06/15/2023
IV
2g
OD
CAP-MR
Waiting Final Action 
06/08/2023
AZITHROMYCIN 500MG TABLET (TAB)
06/08/2023
06/13/2023
PO
1 Tablet
OD
CAP-MR
Waiting Final Action 
06/11/2023
CEFIXIME 200MG (CAP)
06/11/2023
06/17/2023
ORAL
2g
BID
Cap Mr
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: