Arnado, Ronald L.

HRN: 11-95-06  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/07/2026
CEFTRIAXONE 1G (VIAL)
03/07/2026
03/14/2026
IVTT
2g
OD
CAP-MR
Checking Initial Appropriateness 
03/07/2026
AZITHROMYCIN 500MG TABLET (TAB)
03/07/2026
03/26/2026
PO
500MG
OD
CAP-MR
Rejected 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: