Puerto, Darvin T.

HRN: 26-24-51  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/18/2024
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
11/18/2024
11/25/2024
IV
500mg
Q8H
Infectious Diarrhea
Waiting Final Action 
11/18/2024
CIPROFLOXACIN 500MG (TAB)
11/18/2024
11/25/2024
ORAL
500mg/tab
BID
Infectious Diarrhea
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: