Sanggayan, Jerald L.

HRN: 27-44-11  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/05/2025
CEFUROXIME 1.5GM (VIAL)
07/05/2025
07/11/2025
IVT
365mg
Q8H
T/C Nephrotic Syndrome
Remove - Pending Acceptance
07/05/2025
BENZYL PENICILLIN 1MU (VIAL)
07/05/2025
07/05/2025
IM
600,000 IU
Single Dose
T/C Nephrotic Syndrome
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: