Janon, Sendoy .

HRN: 22-39-72  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/11/2024
AMPICILLIN 1GM (VIAL)
05/11/2024
05/18/2024
IV
350mg
Q6hours
PCAP-B
Waiting Final Action 
05/14/2024
AZITHROMYCIN 200MG/5ML, 15ML SUSPENSION (SUSP)
05/14/2024
05/18/2024
PO
2mL
OD
PCAP
Waiting Final Action 
05/16/2024
METRONIDAZOLE 125MG/5ML, 60ML (BOT)
05/16/2024
05/23/2024
PO
4ml
TID
AGE With Moderate Dehydration
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: