Sabornido, Christine A.

HRN: 10-20-55  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/14/2024
CEFTRIAXONE 1G (VIAL)
01/14/2024
01/21/2024
IV
1 GM
Q12H
FRACTURE
Checking Final Appropriateness 
01/15/2024
CEFTRIAXONE 1G (VIAL)
01/15/2024
01/22/2024
IV
2g
OD
UTI
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: