Delos Reyes, Bregeda J.

HRN: 24-38-42  Sex: Female

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
12/09/2024
IVT
2g
OD
CAP MR
Waiting Final Action 
12/03/2024
AZITHROMYCIN 500MG TABLET (TAB)
12/03/2024
12/07/2024
PO
500mg
OD
CAP MR
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: