Vullamor, Raymundo P.

HRN: 10-92-43  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/18/2022
AZITHROMYCIN 500MG TABLET (TAB)
06/18/2022
06/23/2022
ORAL
500 Mg
Q24H
CAP-MR
Waiting Final Action 
06/18/2022
CEFTRIAXONE 1G (VIAL)
06/18/2022
06/25/2022
IV
2g
Q24H
CAP-MR
Waiting Final Action 
01/02/2023
AZITHROMYCIN 500MG TABLET (TAB)
01/02/2023
01/06/2023
PO
500 Mg
OD
CAP-LR
Waiting Final Action 
01/02/2023
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
01/02/2023
01/08/2023
IV
1.5g
Q6H
CAP-MR
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: