Bugao, Anita T.

HRN: 12-75-01  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/22/2023
CEFTRIAXONE 1G (VIAL)
10/22/2023
10/29/2023
IV
2g
Q24H
CAP MR
Waiting Final Action 
10/22/2023
AZITHROMYCIN 500MG TABLET (TAB)
10/22/2023
10/26/2023
ORAL
500mg/tab
OD
CAP MR
Waiting Final Action 
05/25/2025
CEFTRIAXONE 1G (VIAL)
05/25/2025
06/01/2025
IVTT
2g
OD
Cap
Waiting Final Action 
05/25/2025
AZITHROMYCIN 500MG TABLET (TAB)
05/25/2025
05/30/2025
PO
500mg
OD
Cap
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: