Liaging, Edgar E.

HRN: 23-12-40  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/31/2023
CIPROFLOXACIN 500MG (TAB)
05/31/2023
06/06/2023
ORAL
500mg/tab
BID
Infectious Diarrhea
Waiting Final Action 
05/31/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
05/31/2023
06/07/2023
IV
500mg
Q8hrs
Abdominal Infections
Waiting Final Action 
06/04/2023
MEBENDAZOLE 500MG (TAB)
06/04/2023
06/04/2023
PO
500mg
Single Dose
Intestinal Parasitism
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: