Cabaron, Jenelyn B.

HRN: 22-62-59  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/10/2023
CEFTRIAXONE 1G (VIAL)
03/10/2023
03/17/2023
IV
2g
OD
CAP-MR
Waiting Final Action 
03/10/2023
AZITHROMYCIN 500MG TABLET (TAB)
03/10/2023
03/17/2023
PO
500mg
OD
CAP-MR
Waiting Final Action 
04/01/2023
MEBENDAZOLE 100MG/5ML, 60ML SUSPENSION
04/01/2023
04/01/2023
ORAL
25 ML
Single Dose
Ascariasis
Waiting Final Action 

AMS Audit Form


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 Indication:

              

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 Compliance to guidelines:



 Initial appropriateness:



 If inappropriate:

           

 Final appropriateness:



 If inappropriate:

              

 Overall appropriateness: