Supilanas, Rianne .

HRN: 16-25-63  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
900mg
Q12
Infectious Diarrhea
Waiting Final Action 
04/02/2025
METRONIDAZOLE 125MG/5ML, 60ML (BOT)
04/02/2025
04/09/2025
IV
180mg
Q8hours
Infectious Diarrhea
Waiting Final Action 
04/03/2025
METRONIDAZOLE 125MG/5ML, 60ML (BOT)
04/03/2025
04/09/2025
P9
7.5ml
TID
AGE With Moderate Dehydration
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: