Bati-on, Lilioso .

HRN: 05-74-97  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/14/2025
CEFTRIAXONE 1G (VIAL)
04/14/2025
04/21/2025
IV
2g
OD
CAP
Waiting Final Action 
04/14/2025
AZITHROMYCIN 500MG TABLET (TAB)
04/14/2025
04/21/2025
PO
1 Tab
OD
CAP
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: