Vios, Ralph .

HRN: 25-45-22  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/05/2026
CEFTRIAXONE 1G (VIAL)
08/05/2026
08/12/2026
IV DRIP IN 1 HOUR
920mg
Q12h
T/C Bacterial Skin Infection
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: