Langi, Long S.

HRN: 22-70-31  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/10/2023
CEFTRIAXONE 1G (VIAL)
03/10/2023
03/16/2023
IV DRIP
2g
OD
Cap MR
Waiting Final Action 
03/10/2023
AZITHROMYCIN 500MG TABLET (TAB)
03/10/2023
03/14/2023
PO
500mg
OD
Cap MR
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: