Siton, Reynante .

HRN: 24-57-66  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/14/2024
CIPROFLOXACIN 500MG (TAB)
02/14/2024
02/20/2024
PO
500mg
BID
AGE With Mod Dehydration
Waiting Final Action 
02/14/2024
METRONIDAZOLE 500MG (TAB)
02/14/2024
02/20/2024
PO
500mg
TID
AGE With Mod Dehydration
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: