Sacan, Franklin M.

HRN: 21-10-81  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/28/2025
CEFTRIAXONE 1G (VIAL)
10/28/2025
11/04/2025
IV
2g
OD
UTI
Checking Final Appropriateness 
11/03/2025
CEFIXIME 200MG (CAP)
11/03/2025
11/09/2025
PO
2 Tabs
BID
COMPLICATED UTI
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: