Malangcat, Abdul Naeem S.

HRN: 19-84-78  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/15/2025
CEFTRIAXONE 1G (VIAL)
07/15/2025
07/22/2025
IV
770mg
Bid
Pcap C
Checking Initial Appropriateness 
07/15/2025
CEFTRIAXONE 1G (VIAL)
07/15/2025
07/22/2025
IVT
1.3g
Q24
PCAP C
Checking Initial 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: