Aranego, Rubylyn .

HRN: 28-23-06  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/07/2025
METRONIDAZOLE 500MG (TAB)
12/07/2025
12/14/2025
PO
500mg
Q8
Thickly MSAF, IUFD
Checking Final Appropriateness 
12/07/2025
CEFUROXIME 500MG (TAB)
12/07/2025
12/14/2025
PO
500mg
BID
Thickly MSAF, IUFD
Checking Final 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: