Rubia, Hepolito E.

HRN: 25-69-32  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/29/2025
CEFTRIAXONE 1G (VIAL)
05/29/2025
06/05/2025
IVT
2g
OD
CAP MR
Waiting Final Action 
05/29/2025
AZITHROMYCIN 500MG TABLET (TAB)
05/29/2025
06/05/2025
ORAL
500mg
OD
Cap Mr
Rejected 
05/31/2025
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
05/31/2025
06/07/2025
IV
4.5g
Q8hr
CAPMR
Rejected 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: