Guido, Rahanodin D.

HRN: 27-46-50  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/14/2025
CEFTRIAXONE 1G (VIAL)
07/14/2025
07/21/2025
IV
2gm
OD
Empiric
Remove - Pending Acceptance
07/16/2025
AMOXICILLIN 500MG CAPSULE (CAP)
07/16/2025
07/29/2025
PO
1g
Bid
H Pylori Infection
Remove - Pending Acceptance
07/16/2025
CLARITHROMYCIN 500MG (CAP)
07/16/2025
07/29/2025
PO
500mg
Bid
H Pylori Infection
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: