Sayson, Gonzaga S.

HRN: 00-47-06  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/22/2022
AZITHROMYCIN 500MG TABLET (TAB)
11/22/2022
11/24/2022
PER OREM
500mg
OD
Pulmonary Infection/ Infiltrates
Waiting Final Action 
11/22/2022
CEFUROXIME 1.5GM (VIAL)
11/22/2022
11/29/2022
IVTT
1.5g
Q8
Pulmonary Infection/ Infiltrates
Waiting Final Action 
03/22/2023
CEFTRIAXONE 1G (VIAL)
03/22/2023
03/28/2023
IVT
2g
OD
Pneumonia
Waiting Final Action 
03/22/2023
AZITHROMYCIN 500MG TABLET (TAB)
03/22/2023
03/28/2023
PO
500mg
OD
Pneumonia
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: