Talledo, Pearl Grace .

HRN: 24-43-98  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/03/2024
METRONIDAZOLE 500MG (TAB)
02/03/2024
02/10/2024
PO
500mg
Tid
Thickly MSAF
Checking Final Appropriateness 
02/03/2024
CEFUROXIME 500MG (TAB)
02/03/2024
02/10/2024
PO
500mg
Bid
Thickly MSAF
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: