Salinas, Jomar C.

HRN: 22-82-85  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/07/2025
CEFTRIAXONE 1G (VIAL)
11/07/2025
11/13/2025
IV
2g
OD
Cap-mr ; Presumptive PTB
Waiting Final Action 
11/07/2025
AZITHROMYCIN 500MG TABLET (TAB)
11/07/2025
11/13/2025
PO
500mg
OD
Cap-mr; Presumptive Ptb
Waiting Final Action 
11/08/2025
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
11/08/2025
11/15/2025
IV
4.5g
Q8H
CAP-MR
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: