Basilan, Butokan B.

HRN: 18-46-19  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/08/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
10/08/2023
10/15/2023
IV
500mg
TID
Parasitic Infection
Waiting Final Action 
10/10/2023
AZITHROMYCIN 500MG TABLET (TAB)
10/10/2023
10/14/2023
IV
500mgtab
Q24
Cap Lr
Waiting Final Action 
10/11/2023
CEFTRIAXONE 1G (VIAL)
10/11/2023
10/17/2023
IVT
2g
OD
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: