Jona Mae, Cantao .

HRN: 21 52 66  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/07/2022
METRONIDAZOLE 125MG/5ML, 60ML (BOT)
07/07/2022
07/07/2022
IV
500mg
Q8
T/C Amoeba
Waiting Final Action 
07/07/2022
METRONIDAZOLE 500MG (TAB)
07/08/2022
07/13/2022
ORAL
500
Q8
Amoeba
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: