Sicad, Analuna I.

HRN: 01-28-07  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/02/2025
CEFTRIAXONE 1G (VIAL)
04/02/2025
04/09/2025
IV
1g
Q12
T/C Acute Surgical Abdomen Prob Sec To Perforated Peptic Ulcer Disease
Waiting Final Action 
04/02/2025
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
04/02/2025
04/09/2025
IV
Q8
500mg
T/c Acute Surgical Abdomen Prob Sec To Perforated Peptic Ulcer Disease
Waiting Final Action 
04/03/2025
MEBENDAZOLE 500MG (TAB)
04/03/2025
04/04/2025
ORAL
500mg
Single Dose
Intestinal Parasitic Infection
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: