Ones, Julita R.

HRN: 28-36-43  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/05/2026
TENOFOVIR DISOPROXIL FUMARATE 300MG TAB
01/05/2026
01/19/2026
PO
300mg
OD
Hepatitis B Infection
Waiting Final Action 
01/09/2026
CIPROFLOXACIN 500MG (TAB)
01/09/2026
01/15/2026
PO
500
BID
Intra Abdominal Infection
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: