Dela Cruz, Jenivy B.

HRN: 24-10-14  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/13/2023
CEFUROXIME 1.5GM (VIAL)
11/13/2023
11/20/2023
IV
250mg
Q8
T/c Sepsis
Checking Final Appropriateness 
11/17/2023
MEBENDAZOLE 100MG/5ML, 60ML SUSPENSION
11/17/2023
11/19/2023
PO
5ml
BID
Ascariasis
Checking Final Appropriateness 

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: