Lambiguit, Noel C.

HRN: 14-29-18  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/28/2024
CIPROFLOXACIN 500MG (TAB)
12/28/2024
12/31/2024
ORAL
500mg
BID
Infectious Diarrhea
Waiting Final Action 
12/28/2024
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
12/28/2024
01/02/2025
IV
500mg
Q8h
AMOEBIASIS
Waiting Final Action 
12/28/2024
CIPROFLOXACIN 500MG (TAB)
12/28/2024
01/04/2025
PO
500mg
BID
UTI
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: