Apil, Lemuel B.

HRN: 13-75-37  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/14/2022
CIPROFLOXACIN 500MG (TAB)
07/14/2022
07/21/2022
PO
500mg
BID
UTI
Waiting Final Action 
09/10/2022
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
09/10/2022
09/16/2022
IVT
500 Mg
Q8
Intra-abdominal Infection
Waiting Final Action 

AMS Audit Form


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 Indication:

              

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 Compliance to guidelines:



 Initial appropriateness:



 If inappropriate:

           

 Final appropriateness:



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 Overall appropriateness: