Sososco, Juanita A.

HRN: 28-13-88  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/21/2025
CEFTRIAXONE 1G (VIAL)
11/21/2025
11/28/2025
IV
2g
OD
CAP MR
Checking Initial Appropriateness 
11/21/2025
AZITHROMYCIN 500MG TABLET (TAB)
11/21/2025
11/28/2025
PO
500
OD
CAP MR
Checking Initial Appropriateness 
11/27/2025
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
11/27/2025
12/04/2025
IV
4.5gms
Q6
Culture Based Antibiotics
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: