Dugho, Rhynarl R.

HRN: 28-71-97  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/23/2026
CIPROFLOXACIN 2MG/ML, 100ML IV
03/23/2026
03/30/2026
IV
500mg
BID
Infectious Diarrhea, UTI
Remove - Pending Acceptance
03/23/2026
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
03/23/2026
03/30/2026
IV
500mg
Q8
Infectious Diarrhea
Remove - Pending Acceptance
03/23/2026
CIPROFLOXACIN 500MG (TAB)
03/23/2026
03/30/2026
PO
500mg
Q12H
UTI, INFECTIOUS DIARRHEA
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: