Bati-on, Nenita .

HRN: 20-88-28  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/02/2024
CEFTRIAXONE 1G (VIAL)
09/02/2024
09/09/2024
IV
2 Grams
OD
Cap MR
Waiting Final Action 
09/02/2024
AZITHROMYCIN 500MG TABLET (TAB)
09/02/2024
09/06/2024
ORAL
500mg
OD
Cap MR
Waiting Final Action 
09/06/2024
CEFIXIME 200MG (CAP)
09/06/2024
09/12/2024
IVTT
200 Mg/tab, 1 Tab
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: