Baguio, Royna .

HRN: 23-58-51  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/02/2023
CEFUROXIME 500MG (TAB)
09/02/2023
09/08/2023
PO
500mg
BID
Thinly MSAF
Waiting Final Action 
09/02/2023
METRONIDAZOLE 500MG (TAB)
09/02/2023
09/08/2023
PO
500mg
TID
Thinly MSAF
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: