Gio, Bonifacio S.

HRN: 15-71-09  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/30/2022
CEFTRIAXONE 1G (VIAL)
08/30/2022
09/05/2022
INTRAVENOUS
2 Grams
Q 24 Hours
Empiric - CAP/ PTB
Waiting Final Action 
08/30/2022
AZITHROMYCIN 500MG TABLET (TAB)
08/30/2022
09/03/2022
INTRAVENOUS
500 Mg
Once A Day
Empiric - CAP/ PTB
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: