Hernane, Christene L.

HRN: 13-73-10  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/14/2023
CEFTRIAXONE 1G (VIAL)
05/14/2023
05/20/2023
IV
2g
OD
UTI
Waiting Final Action 
05/14/2023
METRONIDAZOLE 500MG (TAB)
05/14/2023
05/23/2023
PO
500 Mg
TID
Infectious Diarrhea Sec To Amoebiasis
Waiting Final Action 

AMS Audit Form


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 Indication:

              

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 Compliance to guidelines:



 Initial appropriateness:



 If inappropriate:

           

 Final appropriateness:



 If inappropriate:

              

 Overall appropriateness: