Pancho, Bonifacia Y.

HRN: 27-32-99  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/20/2025
CEFTRIAXONE 1G (VIAL)
06/20/2025
06/26/2025
IVTT
2g
Once A Day
CAP-MR
Remove - Pending Acceptance
06/20/2025
AZITHROMYCIN 500MG TABLET (TAB)
06/20/2025
06/24/2025
ORAL
500mg
Once A Day
CAP-MR
Remove - Pending Acceptance

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: