Yap, Jerick .

HRN: 21-41-39  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/30/2022
CEFTRIAXONE 1G (VIAL)
05/30/2022
06/05/2022
IV
1g
Q24
Traumatic Brain Injury
Waiting Final Action 
03/01/2024
CEFTRIAXONE 1G (VIAL)
03/01/2024
03/07/2024
IV
1.5g
Q24
Acute Appendicitis
Waiting Final Action 
03/01/2024
CEFTRIAXONE 1G (VIAL)
03/01/2024
03/08/2024
IV
2g
OD
T/c Acute Appendicitis
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: