Dayan, Nicanor .

HRN: 09-18-76  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/10/2025
CEFTRIAXONE 1G (VIAL)
01/10/2025
01/17/2025
IV
2G
OD
CAP MR
Waiting Final Action 
01/10/2025
AZITHROMYCIN 500MG TABLET (TAB)
01/10/2025
01/16/2025
PO
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: