Hortillano, Marjun, JR.. A.

HRN: 20-99-19  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/24/2022
CEFUROXIME 750MG (VIAL)
10/24/2022
10/31/2022
IVT
360 Mg
8 Hrs
T/c UTI
Waiting Final Action 
10/25/2022
MEBENDAZOLE 100MG/5ML, 60ML SUSPENSION
10/25/2022
11/01/2022
IV
10ml
Now
Ascariasis
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: