Limbaga, Roman Gabriel T.

HRN: 29-06-88  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/28/2026
CEFUROXIME 750MG (VIAL)
05/28/2026
06/04/2026
IV
205MG
Q8h
PCAP-C
Checking Initial Appropriateness 
05/28/2026
AZITHROMYCIN 200MG/5ML, 15ML SUSPENSION (SUSP)
05/28/2026
06/04/2026
PO
1.5mL
OD
PCAP
Rejected 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: