Abellanosa Jr, Jezelo B.

HRN: 27-84-21  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/21/2026
CEFTRIAXONE 1G (VIAL)
01/21/2026
01/28/2026
IV
400mg
Q24
PCAP
Checking Initial Appropriateness 
01/21/2026
AZITHROMYCIN 200MG/5ML, 15ML SUSPENSION (SUSP)
01/21/2026
01/26/2026
PO
1.2ml
Q24
PCAP
Checking Initial Appropriateness 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: