Bana-ag, Corazon .

HRN: 23-54-71  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/19/2023
CEFTRIAXONE 1G (VIAL)
08/19/2023
08/26/2023
IV
2g
OD
CAP-MR
Waiting Final Action 
08/19/2023
AZITHROMYCIN 500MG TABLET (TAB)
08/19/2023
08/24/2023
PO
500mg
OD
CAP-MR
Waiting Final Action 
08/20/2023
CEFTAZIDIME 1GM (VIAL)
08/20/2023
08/27/2023
IV
1g
Q8H
CAP MR; PTB Relapse
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: