Alia, Rubin P.

HRN: 09-79-01  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/28/2024
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
06/28/2024
07/05/2024
IV
500mg
Q8
Amoebiasis
Waiting Final Action 
06/29/2024
CIPROFLOXACIN 500MG (TAB)
06/29/2024
07/05/2024
PO
500mg
BID
AGE
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



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Final appropriateness:



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Overall appropriateness: