Manabilang, Nas Ryan A.

HRN: 28-52-39  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/07/2026
CEFTRIAXONE 1G (VIAL)
02/07/2026
02/14/2026
IV
2g
OD
Acute Appendicitis
Remove - Pending Acceptance
02/07/2026
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
02/07/2026
02/14/2026
IV
500mg
Q8h
Acute Appendicitis
Remove - Pending Acceptance
02/09/2026
CEFIXIME 200MG (CAP)
02/09/2026
02/14/2026
ORAL
200mg
Q12
S/P Appendectomy
Checking Initial Appropriateness 
02/09/2026
METRONIDAZOLE 500MG (TAB)
02/09/2026
02/16/2026
ORAL
500mg
Every 8hours
S/P Appendectomy
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: