Corita, Corazon M.

HRN: 26-33-64  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/05/2024
CEFTRIAXONE 1G (VIAL)
12/05/2024
12/12/2024
IV
1g
Q12
CAP MR
Waiting Final Action 
12/05/2024
AZITHROMYCIN 500MG TABLET (TAB)
12/05/2024
12/10/2024
ORAL
500mg
OD
CAP MR
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: