Faciol, Ericson D.

HRN: 28-10-10  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/12/2025
CEFTRIAXONE 1G (VIAL)
11/12/2025
11/18/2025
IVT
2g
Q24H
Fracture Closed, Clavicle
Waiting Final Action 
11/16/2025
CEFAZOLIN 1GM (VIAL)
11/16/2025
11/23/2025
IV
1g
Q8
Clavicular Fracture Sec To RCI
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: