Malondong, Rico M.

HRN: 04-28-25  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/16/2024
CEFTRIAXONE 1G (VIAL)
07/16/2024
07/22/2024
IV
2g
OD
PTB
Waiting Final Action 
07/16/2024
AZITHROMYCIN 500MG TABLET (TAB)
07/16/2024
07/22/2024
PO
500mg
OD
PTB
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: