Sumibay, Rogelio .

HRN: 27-05-49  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/30/2025
CEFTAZIDIME 1GM (VIAL)
04/30/2025
05/06/2025
IV
1g
Q8
Cap
Waiting Final Action 
04/30/2025
AZITHROMYCIN 500MG TABLET (TAB)
04/30/2025
05/06/2025
PO
500 Mg
Od
Cap
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: