Pelizar, Asmen .

HRN: 28-80-20  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/06/2026
CEFTRIAXONE 1G (VIAL)
04/06/2026
04/13/2026
IV
1G
Q12
T/C SEPSIS; URTI; ACUTE TONSILLOPHARYNGITIS
Checking Initial Appropriateness 
04/07/2026
CEFTRIAXONE 1G (VIAL)
04/07/2026
04/14/2026
IV
2.5mg
Q24
T/c Sepsis
Checking Initial Appropriateness 

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: