Clarion, Felicidad R.

HRN: 07-20-45  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/12/2023
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
03/12/2023
03/18/2023
IV
1.5G
Q6h
Cap MR
Waiting Final Action 
03/12/2023
AZITHROMYCIN 500MG TABLET (TAB)
03/12/2023
03/16/2023
PO
500mg
OD
CAP MR
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: