Aleria, Christian .

HRN: 18-49-52  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/31/2025
CEFUROXIME 750MG (VIAL)
12/31/2025
11/05/2025
SIVT
500mg
Q8h
Acute Bacterial Infection
Checking Final Appropriateness 
01/03/2026
CEFTRIAXONE 1G (VIAL)
01/03/2026
01/09/2026
IV
700mg
Q12hours
Acute Bacterial Infection
Checking Final 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: