Daval, Bonifacia J.

HRN: 14-80-80  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/22/2026
CEFTAZIDIME 1GM (VIAL)
02/22/2026
02/28/2026
IV
1g
Q8h
CAP-MR
Remove - Pending Acceptance
02/22/2026
AZITHROMYCIN 500MG TABLET (TAB)
02/22/2026
02/26/2026
PO
500 Mg
Od
Cap-MR
Remove - Pending Acceptance

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: