Alejandrino, Jose C.

HRN: 27-41-31  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/01/2025
CEFTRIAXONE 1G (VIAL)
07/01/2025
07/07/2025
IV
2 Grams
OD
Pleural Effusion Secondary To Para Pneumonic Process
Remove - Pending Acceptance
07/01/2025
AZITHROMYCIN 500MG TABLET (TAB)
07/01/2025
07/05/2025
PO
500 Mg
OD
Pleural Effusion Secondary To Parapneumonic Process
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: