Lamanan, Sheila Mae B.

HRN: 28-01-75  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/29/2025
CEFTRIAXONE 1G (VIAL)
10/29/2025
11/05/2025
IV
1.3g
Loading Dose
To Consider Meningitis
Checking Final Appropriateness 
10/29/2025
CEFTRIAXONE 1G (VIAL)
10/29/2025
11/04/2025
IV
1.3gm
OD
T/C CNSI
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: