Sumalpong, Jimmy .

HRN: 29-50-35  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/20/2026
CEFTRIAXONE 1G (VIAL)
08/20/2026
08/27/2026
IV
1 Gm
Q12h
T/c Mild TBI Sec To RCI
Checking Initial 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: