Ramon, Ferdinand F.

HRN: 28-68-29  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
03/17/2026
IV
1g
Q12
Grade 1 Anterior Spondylolosthesis Of L4 In Relation To L5
Remove - Pending Acceptance
03/10/2026
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
03/11/2026
03/11/2026
IV
1g
Single Dose
Grade 1 Anterior Spondylolosthesis Of L4 In Relation To L5
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: