Patong, Adelfa E.

HRN: 13-81-47  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/08/2023
CEFUROXIME 500MG (TAB)
09/08/2023
09/15/2023
PO
500mg
BID
Thickly MSAF
Checking Final Appropriateness 
09/08/2023
METRONIDAZOLE 500MG (TAB)
09/08/2023
09/15/2023
PO
500mg
TID
Thickly MSAF
Checking Final 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: