Ramirez, Reyan Barkley S.

HRN: 24-08-47  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/14/2023
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
11/14/2023
11/21/2023
IV
230mg
Q6
Pcap B, T/c Kawasaki Dse
Checking Final Appropriateness 
11/18/2023
AZITHROMYCIN 200MG/5ML, 15ML SUSPENSION (SUSP)
11/18/2023
11/22/2023
PO
2.5ml
OD
PCAP B
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: