Gomez, Joresa Ella C.

HRN: 28-75-29  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/25/2026
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
03/25/2026
04/01/2026
IV
500mg
Q8
Acute Appendicitis
Remove - Pending Acceptance
03/25/2026
CEFTRIAXONE 1G (VIAL)
03/25/2026
04/01/2026
IV
1g
OD ANST
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: