Menchavez, Paulina A.

HRN: 26-61-56  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/27/2025
CEFTRIAXONE 1G (VIAL)
01/27/2025
02/03/2025
IV
2g
OD
CAP
Waiting Final Action 
01/27/2025
AZITHROMYCIN 500MG TABLET (TAB)
01/27/2025
02/01/2025
PO
509
OD
CAP
Waiting Final Action 
02/08/2025
FLUCONAZOLE 50MG (CAP)
02/08/2025
02/15/2025
PO
50 Mg/cap
OD
CAP-MR; With Yeast Infection
Waiting Final Action 
02/08/2025
FLUCONAZOLE 150MG (CAP)
02/08/2025
02/15/2025
ORAL
150mg
OD
CAP-MR; With Yeast Infection
Waiting Final Action 
02/09/2025
FLUCONAZOLE 150MG (CAP)
02/09/2025
02/16/2025
PO
150mg
OD
CAP MR With Yeast Infection
Waiting Final Action 
09/09/2025
CEFTRIAXONE 1G (VIAL)
09/09/2025
09/15/2025
IV
2 Grams
OD
CAP MR
Checking Initial Appropriateness 
09/09/2025
AZITHROMYCIN 500MG TABLET (TAB)
09/09/2025
09/14/2025
PO
500
OD
CAP MR
Checking Initial Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: