Tiad, Nemuel, Jr. P.

HRN: 28-63-33  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/03/2026
CIPROFLOXACIN 2MG/ML, 100ML IV
03/03/2026
03/10/2026
IV
400mg
Q12
Inguinal Hernia Vs Testicular Torsion
Remove - Pending Acceptance
03/03/2026
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
03/03/2026
03/10/2026
IV
500mg
Every 8hours
Inguinal Hernia Vs Testicular Torsion
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: