Balabag, Jaime S.

HRN: 24-38-76  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/14/2024
CEFTRIAXONE 1G (VIAL)
01/14/2024
01/20/2024
IV
2g
OD
Cap Mr
Checking Final Appropriateness 
01/14/2024
AZITHROMYCIN 500MG TABLET (TAB)
01/14/2024
01/18/2024
ORAL
500mg
Od
Cap Mr
Checking Final Appropriateness 

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: