Paano, Norberto P.

HRN: 09-99-72  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/10/2024
CEFTAZIDIME 1GM (VIAL)
06/10/2024
06/17/2024
IV
2g
Q8h
Spontaneous Pneumothorax; PTB Presumptive
Waiting Final Action 
06/10/2024
AZITHROMYCIN 500MG TABLET (TAB)
06/10/2024
06/14/2024
PO
500mg
OD
Spontaneous Pneumothorax; PTB Presumptive
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: