Sta. Romana, Ysha P.

HRN: 21-83-00  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/24/2023
CEFUROXIME 1.5GM (VIAL)
09/24/2023
10/01/2023
IVT
260mg
Q8
PCAP C
Waiting Final Action 
09/24/2023
AMPICILLIN 1GM (VIAL)
09/24/2023
10/01/2023
IVTT
600mg
Q6
PCAP C
Waiting Final Action 
09/27/2023
CLARITHROMYCIN 125MG/5ML, 60ML SUSPENSION (BOT)
09/27/2023
10/03/2023
PO
2.5ml
BID
PCAP C
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: