Malondong, Monrie C.

HRN: 08-37-44  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/11/2022
CEFTRIAXONE 1G (VIAL)
06/11/2022
06/18/2022
IV
2gm
OD
T/C Acute Appendicitis
Waiting Final Action 
06/11/2022
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
06/11/2022
06/18/2022
IV
500mg
Q8
T/C Acute Appendicitis
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: