Hubid, Rolly .

HRN: 12-34-20  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/27/2023
CEFTRIAXONE 1G (VIAL)
08/27/2023
09/02/2023
IV
2g
OD
Cap Mr/ SBP
Waiting Final Action 
08/30/2023
CEFIXIME 200MG (CAP)
08/30/2023
09/05/2023
ORAL
200mg/cap
BID
CAP-MR
Waiting Final Action 
08/31/2023
AZITHROMYCIN 500MG TABLET (TAB)
08/31/2023
09/04/2023
PO
500mg
OD
CAP MR
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: