Gais, Artemio T.

HRN: 04-92-51  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/14/2022
CEFTRIAXONE 1G (VIAL)
10/14/2022
10/20/2022
IV
2gms
OD
CAP MR
Waiting Final Action 
10/14/2022
AZITHROMYCIN 500MG TABLET (TAB)
10/14/2022
10/18/2022
PO
500mg
OD
CAP MR
Waiting Final Action 
10/17/2022
CEFUROXIME 500MG (TAB)
10/17/2022
10/23/2022
PO
500mg
BID
CAP MR

AMS Audit Form


Start Date: End Date:

 Indication:

              

 Type of Infection:

                             

           

 Compliance to guidelines:



 Initial appropriateness:



 If inappropriate:

           

 Final appropriateness:



 If inappropriate:

              

 Overall appropriateness: