EstaÑo, Tristan Luke T.

HRN: 23-53-71  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/26/2023
AMPICILLIN 500MG (VIAL)
12/26/2023
01/02/2024
IV
350mg
Q6hrs
Tc Uti
Waiting Final Action 
12/30/2023
CEFUROXIME 750MG (VIAL)
12/30/2023
01/06/2024
IV
250mg
Q8hours
Acute Bacterial Infection
Waiting Final Action 
01/01/2024
CEFUROXIME 250MG/5ML, 50ML SUSPENSION (BOT)
01/01/2024
01/06/2024
PO
2ml
BID
Acute Bacterial Infection
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: