Pacturan, Reny C.

HRN: 20-86-01  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/05/2026
CEFTRIAXONE 1G (VIAL)
04/05/2026
04/12/2026
IV
2g
Od
Cap Mr
Remove - Pending Acceptance
04/05/2026
AZITHROMYCIN 500MG TABLET (TAB)
04/05/2026
04/10/2026
PO
500mg
Od
Cap Mr
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: