Beduya, Roberto .

HRN: 29-33-05  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/15/2026
CEFTRIAXONE 1G (VIAL)
07/15/2026
07/22/2026
IV
2g
OD
Cap-mr
Checking Final Appropriateness 
07/15/2026
AZITHROMYCIN 500MG TABLET (TAB)
07/15/2026
07/20/2026
PO
500mg
Od
Cap-mr
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: