Tarnate, Esther .

HRN: 22-00-79  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/01/2025
CEFUROXIME 500MG (TAB)
08/01/2025
08/08/2025
PO
500mg
Q8
CAPMR
Checking Initial Appropriateness 
08/01/2025
AZITHROMYCIN 500MG TABLET (TAB)
08/01/2025
08/08/2025
PO
500mg
OD
CAP MR
Rejected 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: