Magsalay, Romeo M.

HRN: 25-96-28  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/03/2024
CEFTRIAXONE 1G (VIAL)
12/03/2024
12/08/2024
IV
2G
OD
CAPMR
Waiting Final Action 
12/03/2024
AZITHROMYCIN 500MG TABLET (TAB)
12/03/2024
12/07/2024
ORAL
500MG
OD
CAPMR
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: