Capayas, Camilo N.

HRN: 23-72-35  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/21/2023
CEFTRIAXONE 1G (VIAL)
09/21/2023
09/27/2023
PO
2g
Q24
CAP MR
Waiting Final Action 
09/21/2023
AZITHROMYCIN 500MG TABLET (TAB)
09/21/2023
09/25/2023
PO
500mg
Q24
CAP MR
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: