Leon, Jomar L.

HRN: 18-60-45  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/03/2022
CEFTRIAXONE 1G (VIAL)
09/03/2022
09/09/2022
IV
825 Mg IV
OD
Pneumonia
Waiting Final Action 
09/08/2022
AZITHROMYCIN 200MG/5ML, 15ML SUSPENSION (SUSP)
09/08/2022
09/12/2022
PO
1.4ml
OD
PCAP-C
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: