Balustre, Edwin A.

HRN: 12-58-35  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/12/2026
CEFTRIAXONE 1G (VIAL)
06/12/2026
06/19/2026
IV
2G
OD
CAP-MR
Remove - Pending Acceptance
06/12/2026
AZITHROMYCIN 500MG TABLET (TAB)
06/12/2026
06/17/2026
PO
500MG
OD
CAP-MR
Remove - Pending Acceptance

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: