Gutierrez, Khent Andrey C.

HRN: 19-63-18  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/06/2023
CEFTRIAXONE 1G (VIAL)
09/06/2023
09/12/2023
IVT
1g
OD
AGE With Mod DHN; PCAP B
Waiting Final Action 
09/09/2023
AZITHROMYCIN 200MG/5ML, 15ML SUSPENSION (SUSP)
09/09/2023
09/13/2023
PO
2.5ml
OD
PCAP
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: