Gural, Rosita L.

HRN: 07-12-53  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/06/2025
CEFTRIAXONE 1G (VIAL)
05/06/2025
05/13/2025
IV
2g
OD
CAP MR
Waiting Final Action 
05/06/2025
AZITHROMYCIN 500MG TABLET (TAB)
05/06/2025
05/11/2025
PO
500mg
OD
CAP MR
Waiting Final Action 
05/10/2025
CEFIXIME 200MG (CAP)
05/10/2025
05/16/2025
ORAL
200mg
BID
CAP-MR Resolving
Waiting Final Action 
05/10/2025
CEFIXIME 200MG (CAP)
05/10/2025
05/16/2025
ORAL
200mg
BID
CAP-MR Resolving
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: