Dionaldo, Rodelo .

HRN: 28-36-65  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/04/2026
CEFTRIAXONE 1G (VIAL)
01/04/2026
01/11/2026
IV
2g
OD
CAP-MR
Waiting Final Action 
01/04/2026
AZITHROMYCIN 500MG TABLET (TAB)
01/04/2026
01/08/2026
PO
500mg
OD
CAP-MR
Waiting Final Action 
01/07/2026
BENZYL PENICILLIN 1MU (VIAL)
01/07/2026
01/14/2026
IV
2M
Q6h
T/C Leptospirosis
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: