Hernando, Gregorio, SR.. L.

HRN: 24-07-89  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/12/2023
CEFUROXIME 1.5GM (VIAL)
11/12/2023
11/19/2023
IV
1.5 G
Q8 H
CAP-MR
Checking Final Appropriateness 
11/12/2023
AZITHROMYCIN 500MG TABLET (TAB)
11/12/2023
11/16/2023
PO
1 Tab
OD
Cap Mr
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: