Dumayo, Wilgine G.

HRN: 20-80-10  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/31/2023
CEFUROXIME 750MG (VIAL)
07/31/2023
08/07/2023
IV
330mg
Q8H
PCAP-C
Checking Final Appropriateness 
08/07/2023
CEFTRIAXONE 1G (VIAL)
08/07/2023
08/13/2023
IV
800mg
OD
PCAP-C
Checking Final Appropriateness 
08/07/2023
CLARITHROMYCIN 125MG/5ML, 60ML SUSPENSION (BOT)
08/07/2023
08/14/2023
PO
3ml
BID
PCAP-C
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: