Llanes, Federico M.

HRN: 15-45-50  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/18/2026
CEFTRIAXONE 1G (VIAL)
05/18/2026
05/25/2026
IV
2g
OD
CAP MR
Checking Initial Appropriateness 
05/18/2026
AZITHROMYCIN 500MG IV
05/18/2026
05/23/2026
IV
500
OD
CAP MR
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: