Tañeza, Apolinario C.

HRN: 05-50-17  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/03/2023
CEFTRIAXONE 1G (VIAL)
07/03/2023
07/09/2023
IV
2g
OD
CAP MR
Waiting Final Action 
07/06/2023
CLARITHROMYCIN 500MG (CAP)
07/06/2023
07/12/2023
PER NGT
500 Mg Tab
BID
Pneumonia
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: