Sofia, Jobelyn M.

HRN: 05-04-39  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/05/2026
CEFUROXIME 1.5GM (VIAL)
03/05/2026
03/12/2026
IV
1.5 Grams
Q8
CHOLELITHIASIS
Checking Initial Appropriateness 
03/05/2026
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
03/05/2026
03/12/2026
IV
500 MG
Q8
CHOLELITHIASIS
Checking Initial Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: