Saquin, Diogracia G.

HRN: 24-47-64  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/02/2024
CEFTRIAXONE 1G (VIAL)
02/02/2024
02/08/2024
IVT
2g
OD
CAP MR
Waiting Final Action 
02/02/2024
AZITHROMYCIN 500MG TABLET (TAB)
02/02/2024
02/06/2024
ORAL
500mg
OD
CAP MR
Waiting Final Action 
02/05/2024
CEFIXIME 200MG (CAP)
02/05/2024
02/12/2024
PO
200mg
BID
CAP MR
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: