Gapol, Angelita .

HRN: 21-16-18  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/29/2025
METRONIDAZOLE 500MG (TAB)
05/29/2025
06/04/2025
PO
500 Mg
Tid
Infectious Diarrhea
Checking Initial Appropriateness 
05/30/2025
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
05/30/2025
06/06/2025
IV
500mg
Q8
AGE
Checking Initial Appropriateness 
05/30/2025
CEFTRIAXONE 1G (VIAL)
05/30/2025
06/06/2025
IV
2g
OD
AGE
Checking Initial Appropriateness 
06/01/2025
CIPROFLOXACIN 500MG (TAB)
06/01/2025
06/07/2025
PO
1 Tab
BID
Acute Infectious Diarrhea
Checking Initial Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: