Ebal, Martiniano M.

HRN: 14-63-76  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/22/2023
AZITHROMYCIN 500MG TABLET (TAB)
01/22/2023
01/24/2023
ORAL
500 Mg
Q24H
Community Acquired Pneumonia - Moderate Risk
Waiting Final Action 
01/22/2023
CEFUROXIME 1.5GM (VIAL)
01/22/2023
01/28/2023
IV
1.5g
Q8H
Community Acquired Pneumonia - Moderate Risk
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: