Jusayan, Rue Grayson P.

HRN: 24-59-18  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/09/2024
AMPICILLIN 250MG (VIAL)
09/09/2024
09/15/2024
IV
250mg
Q6hours
PCAP-C
Waiting Final Action 
09/09/2024
CEFTRIAXONE 1G (VIAL)
09/09/2024
09/16/2024
IV DRIP
500 Mg
OD
PCAP-C
Waiting Final Action 
09/09/2024
CLARITHROMYCIN 125MG/5ML, 60ML SUSPENSION (BOT)
09/09/2024
09/16/2024
PO
1.5 Ml
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: