Tutas, Genaro M.

HRN: 23-84-23  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/05/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
10/05/2023
10/12/2023
IV
500mg
Q8H
Amoebiasis
Waiting Final Action 
10/06/2023
CEFTRIAXONE 1G (VIAL)
10/06/2023
10/12/2023
IV
2g
Od
Uti
Waiting Final Action 
10/09/2023
METRONIDAZOLE 500MG (TAB)
10/09/2023
10/15/2023
ORAL
500mg
TID
Age With Mod DHN
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: