Deniega, Eron .

HRN: 23-53-98  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/01/2026
CEFUROXIME 750MG (VIAL)
07/01/2026
07/07/2026
IVTT
425mg
Q8
PCAP C
Checking Initial Appropriateness 
07/04/2026
CLARITHROMYCIN 125MG/5ML, 60ML SUSPENSION (BOT)
07/04/2026
07/10/2026
ORAL
4ml
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: