Corpin, Rogelio Q.

HRN: 14-25-16  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/02/2024
CEFTRIAXONE 1G (VIAL)
09/02/2024
09/09/2024
IV
2 Grams
Once Daily
UTI Complicated
Waiting Final Action 
09/04/2024
AZITHROMYCIN 500MG TABLET (TAB)
09/04/2024
09/11/2024
PO
500mg
OD
CAP MR
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: