Banane, Charles Joel G.

HRN: 23-96-58  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/16/2024
CEFUROXIME 750MG (VIAL)
01/16/2024
01/23/2024
IV
160mg
Q8hrs
PCAP C
Waiting Final Action 
01/17/2024
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
01/17/2024
01/24/2024
IV
75mg
Q24H
PCAP C
Waiting Final Action 
01/19/2024
AZITHROMYCIN 200MG/5ML, 15ML SUSPENSION (SUSP)
01/19/2024
01/23/2024
ORAL VIA OGT
1.3ml
OD
PCAP C
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: