Berual, Teng M.

HRN: 24-18-54  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/01/2023
CEFUROXIME 1.5GM (VIAL)
12/01/2023
12/07/2023
IV
1.5g
Q8h
Cap Mr
Checking Final Appropriateness 
12/01/2023
AZITHROMYCIN 500MG TABLET (TAB)
12/01/2023
12/05/2023
ORAL
500mg
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: