Jaji, Noraida J.

HRN: 10-35-53  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/29/2024
CEFUROXIME 750MG (VIAL)
06/29/2024
07/06/2024
IV
700mg
Q8hours
T/c Acute Appendicitis
Waiting Final Action 
07/01/2024
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
07/01/2024
07/07/2024
IVTT
250mg
Q8h
T/c Acute Appendicitis
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: