Coquilla, Fernando C.

HRN: 24-01-87  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/01/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
11/01/2023
11/08/2023
IV
500mg
TID
Intraabdominal Ifnection
Checking Final Appropriateness 
11/01/2023
CEFTRIAXONE 1G (VIAL)
11/01/2023
11/08/2023
IV
2gms
OD
Intraabdominal Infection
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: