Oceña, Virginia A.

HRN: 27-76-62  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/12/2025
AZITHROMYCIN 500MG TABLET (TAB)
09/12/2025
09/16/2025
PO
500mg
OD
CAP-MR
Remove - Pending Acceptance
09/12/2025
CEFTRIAXONE 1G (VIAL)
09/12/2025
09/19/2025
IV
2gm
OD
CAP-MR
Remove - Pending Acceptance
09/15/2025
CEFIXIME 200MG (CAP)
09/15/2025
09/22/2025
TAB
200
Bid
Cap MR
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: