Mira, Eufemia O.

HRN: 06-37-02  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/16/2025
CEFTRIAXONE 1G (VIAL)
02/16/2025
02/23/2025
IVTT
2G
Q24H
Intestinal Amoebiasis
Waiting Final Action 
02/16/2025
METRONIDAZOLE 500MG (TAB)
02/16/2025
02/23/2025
PO
500mg
OD
Intestinal Amoebiasis
Waiting Final Action 
02/17/2025
CIPROFLOXACIN 500MG (TAB)
02/17/2025
02/24/2025
PO
500mg
BID
Infectious Diarrhea
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: