Mamalias, Pepito A.

HRN: 11-84-90  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/11/2025
CEFTRIAXONE 1G (VIAL)
01/11/2025
01/18/2025
IVTT
2G
OD
T/C PARTIAL BOWEL OBSTRUCTION
Waiting Final Action 
01/11/2025
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
01/11/2025
01/18/2025
IVTT
500
Q8
T/C BOWEL OBSTRUCTION
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: