Dagodog, Cesanie P.

HRN: 23-76-42  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/18/2025
CEFUROXIME 750MG (VIAL)
02/18/2025
02/25/2025
IV
300mg
Q8
PCAP C
Waiting Final Action 
02/19/2025
CEFTRIAXONE 1G (VIAL)
02/19/2025
02/25/2025
IV DRIP
850mg
Q24
Pcap
Waiting Final Action 
02/20/2025
CLARITHROMYCIN 125MG/5ML, 60ML SUSPENSION (BOT)
02/20/2025
02/27/2025
PO
2.5ml
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: