Wahing, Floro Y.

HRN: 14 98 27  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/28/2022
CEFTRIAXONE 1G (VIAL)
06/28/2022
07/05/2022
IV
2gm
OD
CAP MR
Waiting Final Action 
06/28/2022
AZITHROMYCIN 500MG TABLET (TAB)
06/28/2022
07/03/2022
PO
500mg
OD
CAP MR
Waiting Final Action 
10/02/2022
CEFTAZIDIME 1GM (VIAL)
10/02/2022
10/08/2022
IV
1gm
Q8
Cap Mr
Waiting Final Action 
10/03/2022
AZITHROMYCIN 500MG TABLET (TAB)
10/03/2022
10/08/2022
PO
500mg
OD
CAP MR
Waiting Final Action 
10/03/2022
CLARITHROMYCIN 500MG (CAP)
10/03/2022
10/09/2022
PO
500mg
BID
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: