Ruste, Emerito .

HRN: 19-75-76  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/06/2026
CEFTRIAXONE 1G (VIAL)
05/06/2026
05/13/2026
IV
2g
OD
CAP-MR
Checking Initial Appropriateness 
05/06/2026
AZITHROMYCIN 500MG TABLET (TAB)
05/06/2026
05/08/2026
PO
Once Daily
OD
PNEUMONIA
Checking Initial Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: