Ozaraga, Justina A.

HRN: 10-83-00  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/11/2023
CEFTRIAXONE 1G (VIAL)
08/11/2023
08/17/2023
IV
2gm
Q24
Cap Mr
Checking Final Appropriateness 
08/11/2023
AZITHROMYCIN 500MG TABLET (TAB)
08/11/2023
08/15/2023
PO
500mgtab
Q24
Cap Mr
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: