Bahandianon, Feleciano D.

HRN: 15-12-36  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/11/2023
CEFTRIAXONE 1G (VIAL)
02/11/2023
02/17/2023
IV
2g
OD
CAP MR
Waiting Final Action 
02/11/2023
AZITHROMYCIN 500MG TABLET (TAB)
02/11/2023
02/15/2023
ORAL
500mg
OD
CAP MR
Waiting Final Action 
02/13/2023
NYSTATIN 100,000IU/ML, 30ML SUSPENSION (BOT)
02/13/2023
02/20/2023
PO
100,000IU
BID
Oral Thrush
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: