Ramonal, Romana .

HRN: 24-66-98  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/07/2024
CEFTRIAXONE 1G (VIAL)
03/07/2024
03/14/2024
IV
2g
Q24h
MVA
Waiting Final Action 
03/07/2024
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
03/07/2024
03/14/2024
IVT
500 Mg
Q8h
MVA
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: