Rotallas, Rufa May M.

HRN: 22-43-67  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/23/2023
AZITHROMYCIN 500MG TABLET (TAB)
09/23/2023
09/28/2023
PO
500mg
OD
CAP MR
Waiting Final Action 
09/27/2023
NYSTATIN 100,000IU/ML, 30ML SUSPENSION (BOT)
09/27/2023
12/28/2023
PO
3cc
TID
SLE
Checking Final Appropriateness 
09/27/2023
COTRIMOXAZOLE 960MG (TAB)
09/27/2023
12/28/2023
PO
1 Tab
OD (MWF)
SLE
Checking Final Appropriateness 
09/27/2023
ACICLOVIR 400MG (TAB)
09/27/2023
12/28/2023
PO
1 Tab
TID
SLE
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: