Comoc, Rogilo A.

HRN: 23-15-20  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/11/2023
AMPICILLIN 500MG (VIAL)
06/11/2023
06/17/2023
IV
500mg
Q8h
Severe Anemia Sec To UGIB Sec To PUD
Waiting Final Action 
06/11/2023
CLARITHROMYCIN 500MG (CAP)
06/11/2023
06/24/2023
PO
500mg
BID
Severe Anemia Sec To UGIB Sec To PUD
Waiting Final Action 
06/13/2023
CEFTRIAXONE 1G (VIAL)
06/13/2023
06/20/2023
IV
2 Grams
OD
CAP MR
Waiting Final Action 

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: