Catimanan, Rizal -.

HRN: 26-38-72  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/02/2026
CEFTRIAXONE 1G (VIAL)
05/02/2026
05/09/2026
IV DRIP
1G
OD
PCAP C WITH HRAD
Checking Initial Appropriateness 
05/06/2026
CLARITHROMYCIN 125MG/5ML, 60ML SUSPENSION (BOT)
05/06/2026
05/13/2026
PO
3ml
BID
PCAP-C
Checking Initial Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: