Coot, Roel M.

HRN: 15-06-85  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/25/2025
AZITHROMYCIN 500MG TABLET (TAB)
04/25/2025
04/29/2025
ORAL
500mg
Once A Day
CAP-MR
Waiting Final Action 
04/26/2025
CEFTRIAXONE 1G (VIAL)
04/26/2025
05/03/2025
IV
2g
OD
CAP MR
Waiting Final Action 
05/09/2025
LEVOFLOXACIN 5MG/ML, 100ML (VIAL)
05/09/2025
05/16/2025
IV
500mg Then 250mg
Now Then Q48h
HAP
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: