Eramel, Christy Jean A.

HRN: 26-43-42  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/13/2026
CEFTRIAXONE 1G (VIAL)
02/13/2026
02/20/2026
IV
2 Grams
OD
Nka
Checking Initial Appropriateness 
02/13/2026
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
02/13/2026
02/20/2026
IV
500mg
Q8H
NKA
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: