Cuevas, Fahiza .

HRN: 28-68-76  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/11/2026
CEFTRIAXONE 1G (VIAL)
03/11/2026
03/18/2026
IV DRIP IN 1 HOUR
1.7g
Q24h
PCAP C
Remove - Pending Acceptance
03/11/2026
AZITHROMYCIN 200MG/5ML, 15ML SUSPENSION (SUSP)
03/11/2026
03/14/2026
PO
2ml
OD
PCAP C
Remove - Pending Acceptance

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: