Mosquito, Jessrell P.

HRN: 28-71-56  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/21/2026
CEFTRIAXONE 1G (VIAL)
03/21/2026
03/28/2026
IVT
2g
OD
T/C Acute Appendicitis
Remove - Pending Acceptance
03/21/2026
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
03/21/2026
03/28/2026
IVT
500mg
Q8
T/C Acute Appendicitis
Remove - Pending Acceptance

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: