Arcosiba, Rosalina S.

HRN: 23-23-72  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/27/2023
CEFTRIAXONE 1G (VIAL)
06/27/2023
07/04/2023
IV
2g
Q24h
CAP MR
Waiting Final Action 
06/27/2023
AZITHROMYCIN 500MG TABLET (TAB)
06/27/2023
07/01/2023
ORAL
500mg/tab
OD
CAP MR
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: