Sumagaysay, Jay D.

HRN: 27-90-25  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/04/2025
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
10/04/2025
10/10/2025
IV
500mg
Q8
T/c Acute Appendicitis
Waiting Final Action 
10/04/2025
CEFTRIAXONE 1G (VIAL)
10/04/2025
10/10/2025
IV
2gm
OD
T/c Acute Appendicitis
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: