Andolong, Arlyne .

HRN: 24-07-06  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/07/2023
AZITHROMYCIN 500MG TABLET (TAB)
11/07/2023
11/11/2023
PO
500mg
OD
CAP-MR; T/c PTB Relapse
Waiting Final Action 
11/07/2023
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
11/07/2023
11/11/2023
IV
1.5g
Q6hrs
CAP-MR; T/c PTB Relapse
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: