Buendia, Venz Daryll P.

HRN: 28-62-60  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/10/2026
CEFTRIAXONE 1G (VIAL)
03/10/2026
03/16/2026
IV
2g
OD
Fracture, Abrasions
Checking Initial Appropriateness 
03/10/2026
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
03/11/2026
03/11/2026
IV
1gm
1 Hour PTOR
Fracture Closed Complete Displaced Middle 3rd Of Radius
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: