Ubatay, Marife M.

HRN: 20-39-32  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/09/2023
AMOXICILLIN 500MG CAPSULE (CAP)
09/09/2023
09/22/2023
ORAL
500mg
2 Tabs BID
H Pylori Infection
Waiting Final Action 
09/09/2023
CLARITHROMYCIN 500MG (CAP)
09/09/2023
09/22/2023
ORAL
500mg
BID
H Pylori Infection
Waiting Final Action 
03/08/2024
CEFUROXIME 1.5GM (VIAL)
03/09/2024
03/09/2024
IV
1.5
On Call To OR
For Cervical Polypectomy
Waiting Final Action 
03/09/2024
CEFUROXIME 500MG (TAB)
03/09/2024
03/16/2024
PO
500mg
BID
S/P Cervical Polypectomy
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: