Roble, Virgelio, Sr. M.

HRN: 26-38-82  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/07/2025
CEFTRIAXONE 1G (VIAL)
01/07/2025
01/14/2025
IV
2 Grams
Once Daily
CAP MR
Waiting Final Action 
01/07/2025
AZITHROMYCIN 500MG TABLET (TAB)
01/07/2025
01/11/2025
ORAL
500 Mg
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: