Buca, Rosebeo C.

HRN: 27-45-21  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/05/2025
CEFTRIAXONE 1G (VIAL)
07/05/2025
07/11/2025
IV
2 Grams
OD
Cap MR
Waiting Final Action 
07/05/2025
AZITHROMYCIN 500MG TABLET (TAB)
07/05/2025
07/09/2025
PO
500 Mg
OD
CAP MR
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: