Paitan, Freya Frauline N.

HRN: 22-29-86  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/17/2025
CEFTRIAXONE 1G (VIAL)
08/17/2025
08/24/2025
IV
610mg
Q12
PCAP C
Checking Initial Appropriateness 
08/19/2025
CEFIXIME 100MG/5ML, 60ML SUSPENSION (BOT)
08/19/2025
08/25/2025
PO
2.4mL
Q12
Pneumonia
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: