Cartajena, Oliver P.

HRN: 21-68-60  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/02/2023
CEFTRIAXONE 1G (VIAL)
10/02/2023
10/08/2023
IVTT
2g
OD
Cap-MR
Waiting Final Action 
10/03/2023
AZITHROMYCIN 500MG TABLET (TAB)
10/03/2023
10/07/2023
ORAL
1 Tab
OD
Pneumonia
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: