Jueves, Corlita A.

HRN: 21-75-66  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/21/2025
AZITHROMYCIN 500MG TABLET (TAB)
10/21/2025
10/25/2025
PO
500mg
OD
CAPMR
Waiting Final Action 
10/27/2025
CEFTRIAXONE 1G (VIAL)
10/27/2025
11/02/2025
IVTT
2g
Once A Day
CAP-MR
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: