Ligan, Alexander A.

HRN: 24-39-81  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/02/2024
CEFTRIAXONE 1G (VIAL)
01/02/2024
01/08/2024
IVT
2g
OD
CAP MR
Waiting Final Action 
01/04/2024
AZITHROMYCIN 500MG TABLET (TAB)
01/04/2024
01/08/2024
ORAL
500mg
Od
Cap Mr
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: