Dayondayon, Ciano O.

HRN: 21-30-87  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/27/2022
AZITHROMYCIN 500MG TABLET (TAB)
04/27/2022
04/27/2022
PO
1gm
SD
AGE
Waiting Final Action 
04/27/2022
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
04/27/2022
05/04/2022
IV
500mg
Q8
Amoebiasis
Waiting Final Action 
04/27/2022
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
04/27/2022
05/04/2022
IV
500mg
Q6
Amoebiasis
Waiting Final Action 
04/27/2022
CEFTRIAXONE 1G (VIAL)
04/28/2022
05/04/2022
IV
2gram
OD
Productive Cough With Greenish Phlegm
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: