Ayson, Franklen C.

HRN: 22-31-91  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/12/2023
CEFUROXIME 1.5GM (VIAL)
09/12/2023
09/18/2023
IV
1.5gm
Q8
Cap Mr
Waiting Final Action 
09/12/2023
AZITHROMYCIN 500MG TABLET (TAB)
09/12/2023
09/18/2023
PO
500mgtab
Q24
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: