Esic, Margarita .

HRN: 26-46-38  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/01/2025
CEFTRIAXONE 1G (VIAL)
01/01/2025
01/07/2025
IV
2g
OD
CAP-MR
Waiting Final Action 
01/01/2025
AZITHROMYCIN 500MG TABLET (TAB)
01/01/2025
01/05/2025
PO
500mg
OD
CAP-MR
Waiting Final Action 
01/03/2025
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
01/03/2025
01/09/2025
IV
4.5gm
Q6
Cap Mr
Rejected 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: