Baydal, Dolores S.

HRN: 27-79-09  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/17/2025
CEFTRIAXONE 1G (VIAL)
09/17/2025
09/24/2025
IVT
2g
OD
CAP MR
Checking Initial Appropriateness 
09/17/2025
AZITHROMYCIN 500MG TABLET (TAB)
09/17/2025
09/22/2025
ORAL
500mg
OD
Cap Mr
Checking Initial Appropriateness 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: