Buay, Rockjun G.

HRN: 18-74-75  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/04/2026
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
03/04/2026
03/10/2026
IV
500mg
TID
Intraabdominal Infection
Checking Initial Appropriateness 
03/04/2026
CEFUROXIME 1.5GM (VIAL)
03/04/2026
03/10/2026
IV
1.5g
TID
Intraabdominal Infection
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: