Gonzalgo, Rubeen G.

HRN: 22-82-95  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/15/2025
AMOXICILLIN 500MG CAPSULE (CAP)
05/15/2025
05/21/2025
PO
2caps
BID
H. Pylori Infection
Waiting Final Action 
05/15/2025
CLARITHROMYCIN 500MG (CAP)
05/15/2025
05/21/2025
P0
500mg
BID
H. Pylori Infection
Waiting Final Action 
05/18/2025
CEFTRIAXONE 1G (VIAL)
05/18/2025
05/25/2025
IVT
2g
OD
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: