Paninsoro, Natividad .

HRN: 17-79-08  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/18/2025
AZITHROMYCIN 500MG TABLET (TAB)
11/18/2025
11/22/2025
PO
500MG
OD
Pneumonia
Checking Initial Appropriateness 
11/18/2025
CEFTRIAXONE 1G (VIAL)
11/18/2025
11/25/2025
IV
2G
OD
Pneumonia
Checking Initial 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: