Quirante, Ginalyn .

HRN: 24-42-05  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/25/2025
METRONIDAZOLE 500MG (TAB)
05/25/2025
06/01/2025
PO
500mg
BID
SP Completion Curettage
Waiting Final Action 
05/25/2025
DOXYCYCLINE 100MG (CAP)
05/25/2025
06/01/2025
PO
100mg
BID
SP Completion Curettage
Waiting Final Action 

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: