Villamor, Mely B.

HRN: 23-82-77  Sex: Female

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
10/09/2023
IV
2gms
OD
UTI
Checking Final Appropriateness 
10/03/2023
CLARITHROMYCIN 500MG (CAP)
10/03/2023
10/10/2023
PO
500mg
BID
Bilateral Pneumonia
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

 Indication:

              

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 Compliance to guidelines:



 Initial appropriateness:



 If inappropriate:

           

 Final appropriateness:



 If inappropriate:

              

 Overall appropriateness: