Graciano, Leonora E.

HRN: 07-23-50  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/01/2025
LEVOFLOXACIN 500MG (TAB)
11/01/2025
11/05/2025
PO
500mg
OD
CAP MR
Waiting Final Action 
11/01/2025
CEFTAZIDIME 1GM (VIAL)
11/01/2025
11/08/2025
IV
2g
Q8
CAP MR
Waiting Final Action 

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: