Cole, Carmelita P.

HRN: 09-82-70  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/21/2025
AZITHROMYCIN 500MG TABLET (TAB)
08/22/2025
08/26/2025
PO
500 Mg Tab
Od
Ba In Ae
Checking Initial Appropriateness 
08/24/2025
CEFTRIAXONE 1G (VIAL)
08/24/2025
08/31/2025
IV
2g
OD
Pneumonia
Checking Initial Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: