Lumaad, Mark Eldrian T.

HRN: 23-53-70  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/29/2024
CEFTRIAXONE 1G (VIAL)
01/29/2024
02/04/2024
IV
600mg
Q24
Pneumonia
Waiting Final Action 
01/31/2024
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
01/31/2024
02/07/2024
IVT
60mg
Q8
Infectious Diarrhea
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: