Flores, Rosalie C.

HRN: 13-38-70  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/13/2025
CEFTRIAXONE 1G (VIAL)
02/13/2025
02/19/2025
IV
2g
OD
CAP MR
Waiting Final Action 
02/13/2025
AZITHROMYCIN 500MG TABLET (TAB)
02/13/2025
02/19/2025
ORAL
500mg
OD
CAP MR
Waiting Final Action 

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: