Paculba, Vicky P.

HRN: 26-62-39  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/13/2026
CEFTRIAXONE 1G (VIAL)
04/13/2026
04/19/2026
IVTT
2g
OD
Cap-MR
Remove - Pending Acceptance
04/13/2026
AZITHROMYCIN 500MG TABLET (TAB)
04/13/2026
04/15/2026
PO
500 Mg/tab, 1 Tab
OD
Cap-MR
Remove - Pending Acceptance

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



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Final appropriateness:



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Overall appropriateness: