Amolo, Bernie Jr. N.

HRN: 26-40-29  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/14/2025
CEFTRIAXONE 1G (VIAL)
04/14/2025
04/21/2025
IV
1g
Q12
Acute Appendicitis
Waiting Final Action 
04/14/2025
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
04/14/2025
04/21/2025
IV
500
Q8
Acute Appendicitis
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: