Delos Angeles, Aurora P.

HRN: 18-56-67  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/12/2023
CIPROFLOXACIN 500MG (TAB)
02/12/2023
02/18/2023
PO
500mg
BID
UTI
Waiting Final Action 
02/14/2023
AZITHROMYCIN 500MG TABLET (TAB)
02/14/2023
02/19/2023
PO
500mg
OD
CAP MR
Waiting Final Action 
02/18/2023
CEFTRIAXONE 1G (VIAL)
02/18/2023
02/24/2023
IVT
2g
Q24H
UTI
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: