Bollino, Jp M.

HRN: 26-63-05  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/31/2025
CEFTRIAXONE 1G (VIAL)
01/31/2025
02/20/2025
IV
2g
OD
T/c CNS Infection
Waiting Final Action 
02/06/2025
CEFTRIAXONE 1G (VIAL)
02/06/2025
02/26/2025
IV DRIP
1.5g
Q12h
Febrile Infection Related Epilepsy
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: