Gooc, Justien Full C.

HRN: 03-61-92  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/03/2022
AZITHROMYCIN 500MG TABLET (TAB)
11/03/2022
11/10/2022
PO
500mg
OD
PCAP
Waiting Final Action 
11/03/2022
CEFUROXIME 1.5GM (VIAL)
11/03/2022
11/10/2022
IV
750mg
Q8hrs
PCAP C
Waiting Final Action 
11/03/2022
CEFUROXIME 1.5GM (VIAL)
11/03/2022
11/10/2022
IV
1.5g
Now
PCAP C
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: