Sulong, Rita S.

HRN: 14-44-97  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/23/2025
CEFTRIAXONE 1G (VIAL)
04/23/2025
04/29/2025
IV
2 Grams
OD
Uti
Waiting Final Action 
04/25/2025
CIPROFLOXACIN 500MG (TAB)
04/25/2025
05/01/2025
ORAL
500mg
OD
ACS-STEMI
Waiting Final Action 
04/25/2025
CIPROFLOXACIN 500MG (TAB)
04/25/2025
05/01/2025
PO
500 Mg
Bid
Uti
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: