Gallego, Leonida C.

HRN: 06-00-73  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/22/2026
CEFTRIAXONE 1G (VIAL)
02/22/2026
03/01/2026
IV
2 Grams
Q24
CAP-MR
Remove - Pending Acceptance
02/22/2026
AZITHROMYCIN 500MG IV
02/22/2026
03/01/2026
PO
1 Tab
OD
CAP-MR
Remove - Pending Acceptance

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: