Sta. Cruz, Rodrigo E.

HRN: 04-73-09  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/09/2025
AZITHROMYCIN 500MG TABLET (TAB)
10/09/2025
10/12/2025
PO
500MG
OD
CAP LR
Waiting Final Action 
10/09/2025
CEFUROXIME 1.5GM (VIAL)
10/09/2025
10/16/2025
IV
1.5G
Q8
CAP LR
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: