Linggal, Boy M.

HRN: 24-37-39  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/06/2024
CEFTRIAXONE 1G (VIAL)
01/06/2024
01/13/2024
IV
2 Grams
OD
Acute Appendicitis
Checking Final Appropriateness 
01/06/2024
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
01/06/2024
01/13/2024
500MG
IV
Q8H
Acute Appendicitis
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: