Montohen, Jonil Jay T.

HRN: 21-57-67  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/07/2023
CEFUROXIME 750MG (VIAL)
09/07/2023
09/14/2023
IV
350mg
Q8hours
PCAP-C
Waiting Final Action 
09/09/2023
AZITHROMYCIN 200MG/5ML, 15ML SUSPENSION (SUSP)
09/09/2023
09/13/2023
PO
2.6ml
OD
PCAP-C
Waiting Final Action 

AMS Audit Form


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 Indication:

              

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 Compliance to guidelines:



 Initial appropriateness:



 If inappropriate:

           

 Final appropriateness:



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 Overall appropriateness: