Mendez, Prince Say B.

HRN: 25-41-28  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/01/2024
CEFUROXIME 750MG (VIAL)
07/01/2024
07/08/2024
IV
250 Mg
Q8
PCAP-C
Waiting Final Action 
07/07/2024
CEFUROXIME 750MG (VIAL)
07/07/2024
07/10/2024
IVTT
250mg
Q8
PCAP C
Waiting Final Action 
07/07/2024
CLARITHROMYCIN 125MG/5ML, 60ML SUSPENSION (BOT)
07/07/2024
07/11/2024
PO
1ml
BID
PCAP C
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: