Pasigna, Nalchemier .

HRN: 27-85-26  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/23/2025
CEFTRIAXONE 1G (VIAL)
09/23/2025
10/07/2025
IV
1gram
Every 12hrs
Empiric
Remove - Pending Acceptance
10/02/2025
CEFTRIAXONE 1G (VIAL)
10/02/2025
10/08/2025
IVT
1g
Q12H
Empiric (Fracture)
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: