Del Rosario, Jenifer .

HRN: 23-85-35  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/04/2023
CEFUROXIME 1.5GM (VIAL)
10/04/2023
10/11/2023
IV
1.5gram
Q 8hrs
Uti; Amebiasis
Checking Final Appropriateness 
10/04/2023
METRONIDAZOLE 500MG (TAB)
10/04/2023
10/11/2023
ORAL
500mg
TID
Uti; Amebiasis
Checking Final Appropriateness 
10/04/2023
CEFTRIAXONE 1G (VIAL)
10/04/2023
10/11/2023
IVT
2g
OD
UTI
Checking Final Appropriateness 
10/07/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
10/07/2023
10/17/2023
IV DRIP
500mg
Q8
Amoebiasis
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: