Castro, Jhondel .

HRN: 23-51-91  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/09/2023
CEFTRIAXONE 1G (VIAL)
08/09/2023
08/15/2023
IV
2g
OD
UTI
Checking Final Appropriateness 
08/08/2023
BENZYL PENICILLIN 1MU (VIAL)
08/10/2023
08/24/2023
IV
2.4million Units
Once A Week For 3 Weeks
Syphilis
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: