Edano, Mc Nhill S.

HRN: 27-82-46  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/20/2025
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
09/20/2025
09/27/2025
IV
500mg
Q8h
Infectious Diarrhea
Checking Initial Appropriateness 
09/23/2025
CIPROFLOXACIN 500MG (TAB)
09/23/2025
09/30/2025
PO
500mg
BID
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: