Pacatang, Jekob V.

HRN: 18-12-04  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/21/2023
CLARITHROMYCIN 125MG/5ML, 60ML SUSPENSION (BOT)
10/21/2023
10/28/2023
PO
4ml
Q12
PCAP
Checking Final Appropriateness 
10/24/2023
CEFUROXIME 750MG (VIAL)
10/24/2023
10/31/2023
IV
375mg
Q8H
Fracture R Humerus
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: