Untong, Prince Ezekiel P.

HRN: 23-60-61  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/26/2023
CEFUROXIME 1.5GM (VIAL)
08/26/2023
09/02/2023
IVTT
450
Q8
PCAP
Waiting Final Action 
08/30/2023
CLARITHROMYCIN 125MG/5ML, 60ML SUSPENSION (BOT)
08/30/2023
09/06/2023
PO
4ml
BID
PCAP-C
Waiting Final Action 
08/30/2023
CLARITHROMYCIN 125MG/5ML, 60ML SUSPENSION (BOT)
08/30/2023
09/06/2023
PO
4ml
BID
PCAP-C
Waiting Final Action 
08/30/2023
CLARITHROMYCIN 125MG/5ML, 60ML SUSPENSION (BOT)
08/30/2023
09/06/2023
PO
4ml
BID
PCAP-C
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: