Adolfo, Ricardo V.

HRN: 02-70-25  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/13/2026
CEFTRIAXONE 1G (VIAL)
07/13/2026
07/19/2026
IV
2gm
Q24h
Cap Mr
Checking Final Appropriateness 
07/13/2026
AZITHROMYCIN 500MG TABLET (TAB)
07/13/2026
07/17/2026
PO
500mgtab
Q24
Cap Mr
Checking Final 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: