Clavido, Celestino A.

HRN: 05-74-34  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/13/2024
CEFTRIAXONE 1G (VIAL)
09/13/2024
09/19/2024
IVT
2g
OD
CAP MR
Waiting Final Action 
09/18/2024
AZITHROMYCIN 500MG TABLET (TAB)
09/18/2024
09/22/2024
ORAL
500mg/tab
OD
CAP MR
Waiting Final Action 
09/20/2024
CEFUROXIME 500MG (TAB)
09/20/2024
09/27/2024
PO
500mg
BID
CAP
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: