Bacsan, Edmond Q.

HRN: 13-44-90  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/14/2026
CEFTRIAXONE 1G (VIAL)
02/14/2026
02/20/2026
IV
2gm
Q24
Urinary Tract Infection
Checking Initial Appropriateness 
03/24/2026
CEFTRIAXONE 1G (VIAL)
03/24/2026
03/31/2026
IV
2g
OD
UTI
Checking Initial Appropriateness 
03/25/2026
CEFIXIME 200MG (CAP)
03/25/2026
03/31/2026
PO
200mg
BID
CAP MR
Checking Initial 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: