Vale, Morena T.

HRN: 13-27-63  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/15/2025
CEFTRIAXONE 1G (VIAL)
08/15/2025
08/22/2025
IV
2g
OD
Acute Bacterial Infection
Checking Initial Appropriateness 
08/16/2025
AZITHROMYCIN 500MG TABLET (TAB)
08/16/2025
08/23/2025
PO
500
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: