Palaran, Kheysia Claire A.

HRN: 27-25-65  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/12/2025
CEFUROXIME 750MG (VIAL)
10/12/2025
10/18/2025
IVT
700mg
Q8H
Inguinal Hernia
Checking Final Appropriateness 
10/12/2025
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
10/12/2025
10/18/2025
IVT
200mg
Q8H
Inguinal Hernia
Checking Final Appropriateness 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: