Manaya, Caridad .

HRN: 23-23-89  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/28/2023
AZITHROMYCIN 500MG TABLET (TAB)
06/28/2023
07/03/2023
PO
500mg
OD
CAP-MR
Waiting Final Action 
06/28/2023
CEFTRIAXONE 1G (VIAL)
06/28/2023
07/05/2023
IV
2g
OD
CAP-MR
Waiting Final Action 
07/04/2023
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
07/04/2023
07/07/2023
PO
150mg
OD
CAP MR

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: