Manzano, Mario Y.

HRN: 21-64-37  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/22/2022
CEFTRIAXONE 1G (VIAL)
07/22/2022
07/29/2022
IV
1g
Q12
Fracture L Radioulna
Waiting Final Action 
07/22/2022
CEFTRIAXONE 1G (VIAL)
07/22/2022
07/29/2022
IV
1g
Q12
Fracture L Radioulna
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: