Ruano, Teodora .

HRN: 24 08 23  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/27/2023
CEFTRIAXONE 1G (VIAL)
12/27/2023
01/02/2024
IV
2gm
OD
Cap
Waiting Final Action 
12/27/2023
AZITHROMYCIN 500MG TABLET (TAB)
12/27/2023
12/31/2023
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: