Lumeran, Jerald Kurt D.

HRN: 21-74-74  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/07/2023
CEFUROXIME 1.5GM (VIAL)
12/07/2023
12/14/2023
IV
600mg
TID
Pcap C
Waiting Final Action 
12/12/2023
AZITHROMYCIN 200MG/5ML, 15ML SUSPENSION (SUSP)
12/12/2023
12/16/2023
PO
4.5ml
OD
PCAP-C
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: