Emia, Kristoff Ian L.

HRN: 15-77-71  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/14/2022
CEFUROXIME 750MG (VIAL)
11/14/2022
11/21/2022
IV
750mg
Q8h
PCAP B
Waiting Final Action 
11/17/2022
AZITHROMYCIN 200MG/5ML, 15ML SUSPENSION (SUSP)
11/17/2022
11/21/2022
PO
7.5ml
OD
PCAP
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: