Bercede, Ramon B.

HRN: 15-64-65  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/26/2022
CEFTRIAXONE 1G (VIAL)
06/26/2022
07/02/2022
IV
2g
OD
PC >100/hpf
Waiting Final Action 
06/27/2022
AZITHROMYCIN 500MG TABLET (TAB)
06/27/2022
07/03/2022
PO
500mg
OD
UTI
Waiting Final Action 
09/02/2022
CEFTRIAXONE 1G (VIAL)
09/02/2022
09/08/2022
IV
2g
OD
Complicated UTI
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: