Albajer, Jeco .

HRN: 27-56-11  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/01/2025
CEFTRIAXONE 1G (VIAL)
08/01/2025
08/08/2025
IVTT
2G
OD
APPENDICITIS
Remove - Pending Acceptance
08/01/2025
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
08/01/2025
08/08/2025
IVTT
500MG
Q8
APPENDICITIS
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: