Sanchez, Rudy T.

HRN: 22-00-38  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/01/2022
MEBENDAZOLE 500MG (TAB)
10/01/2022
10/01/2022
PO
500mg
Single Dose
Hookworm Infection
Waiting Final Action 
10/02/2022
MEBENDAZOLE 100MG/5ML, 60ML SUSPENSION
10/02/2022
10/02/2022
PO
500mg
NOW
Intestinal Parasitism
Waiting Final Action 
10/04/2022
AZITHROMYCIN 500MG TABLET (TAB)
10/04/2022
10/08/2022
PO
500 Mg
Once A Day
Community Acquired Pneumonia
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: