Sebastian, Harvey Jay O.

HRN: 29-23-94  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/03/2026
CEFTRIAXONE 1G (VIAL)
07/03/2026
07/10/2026
IV
1g
Q12
FRACTURE, CLOSE, COMPLETE, MIDDLE THIRD FEMUR
Checking Initial Appropriateness 
07/15/2026
CEFTRIAXONE 1G (VIAL)
07/15/2026
07/21/2026
IV
2g
OD
Closed Comminuted Fracture Left Femur
Checking Final 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: