Bamonde, Felicia T.

HRN: 24-10-26  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/14/2023
CEFUROXIME 1.5GM (VIAL)
11/14/2023
11/20/2023
IV
1.5gm
Q8
Cap Mr
Checking Final Appropriateness 
11/14/2023
AZITHROMYCIN 500MG TABLET (TAB)
11/14/2023
11/18/2023
PO
500mgtab
Q24
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: