Mutya, Norberto G.

HRN: 22-99-16  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/30/2023
AZITHROMYCIN 500MG TABLET (TAB)
04/30/2023
05/04/2023
PO
500mg
OD
CAP-MR
Waiting Final Action 
04/30/2023
CEFTRIAXONE 1G (VIAL)
04/30/2023
05/06/2023
IV
2g
OD
Complicated UTI; CAP-MR
Waiting Final Action 
05/02/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
05/02/2023
05/11/2023
IV
500 Mg
Q8H
Infectious Diarrhea
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: