Rescallar, Ricardo E.

HRN: 17-98-46  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/06/2024
CEFTRIAXONE 1G (VIAL)
02/06/2024
02/14/2024
IV
2 Grams
Once A Day
CAP-MR
Checking Final Appropriateness 
02/06/2024
CLARITHROMYCIN 500MG (CAP)
02/06/2024
02/14/2024
ORAL
1/2 Tab
2 Times A Day
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: