Casipong, Seth Michael .

HRN: 23-88-49  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/10/2023
AMPICILLIN 250MG (VIAL)
10/10/2023
10/16/2023
IVT
250mg
Q6hrs
Pcap B
Waiting Final Action 
10/12/2023
AZITHROMYCIN 200MG/5ML, 15ML SUSPENSION (SUSP)
10/12/2023
10/16/2023
PO
3.5ml
OD
PCAP-B
Waiting Final Action 

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: