Tizon, Marichu .

HRN: 18-33-83  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/06/2026
CEFUROXIME 500MG (TAB)
04/06/2026
04/12/2026
PO
500mg
Bid
Msaf Thickly
Remove - Pending Acceptance
04/06/2026
METRONIDAZOLE 500MG (TAB)
04/06/2026
04/12/2026
PO
500mg
Tid
Msaf
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: