Matahum, Jay-ar B.

HRN: 26-11-64  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/22/2024
CEFTRIAXONE 1G (VIAL)
10/22/2024
10/29/2024
IV
1.5g
Q24h
ACUTE APPENDICITIS
Waiting Final Action 
10/22/2024
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
10/22/2024
10/29/2024
IV
200mg
Q8h
ACUTE APPENDICITIS
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: