Guiret, Thyrhone C.

HRN: 28-52-77  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/09/2026
CEFTRIAXONE 1G (VIAL)
02/09/2026
02/16/2026
IV DRIP
400mg
Q12
Partial Thickness Burn
Checking Initial Appropriateness 
02/09/2026
SILVER SULFADIAZINE 1%, 25G CREAM (TUBE)
02/09/2026
02/16/2026
TOPICAL
1%
Q12
Partial Thickness Burn
Checking Initial Appropriateness 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: