Coluban, Aika Julianne D.

HRN: 11-75-84  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/12/2024
CEFTRIAXONE 1G (VIAL)
03/12/2024
03/19/2024
IV
1 Gram
Every 12 Hours
Chronic Dislocation Supracondylar Humerus Left Sec To Fall
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: