Romero, Cerino .

HRN: 28-80-35  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/06/2026
CEFTRIAXONE 1G (VIAL)
04/06/2026
04/12/2026
IV
2g
OD
CAP MR
Remove - Pending Acceptance
04/06/2026
AZITHROMYCIN 500MG TABLET (TAB)
04/06/2026
04/10/2026
ORAL
500 MG
OD
CAP MR
Remove - Pending Acceptance

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: