Gomez, Senicio P.

HRN: 02-50-34  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/01/2022
AZITHROMYCIN 500MG TABLET (TAB)
09/01/2022
09/05/2022
PO
500mg
OD
Cap-MR; Covid19 Infection Mild
Waiting Final Action 
09/01/2022
CEFTRIAXONE 1G (VIAL)
09/01/2022
09/07/2022
IV
1g
Q12hours
Cap-MR; Covid19 Infection Mild
Waiting Final Action 

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: