Florin, Gaudencio C.

HRN: 22 64 80  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/27/2023
CEFTAZIDIME 1GM (VIAL)
02/27/2023
03/05/2023
IV
1gm
Q8
CAP MR; T/C PTB
Waiting Final Action 
02/27/2023
AZITHROMYCIN 500MG TABLET (TAB)
02/27/2023
03/03/2023
PO
500mg
OD
Pneumonia PTB
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: