Bajo, Arnold, Jr. T.

HRN: 28-80-94  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/10/2026
CEFUROXIME 750MG (VIAL)
04/10/2026
04/17/2026
IV
750mg
Q8h
Acute Appendicitis
Remove - Pending Acceptance
04/10/2026
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
04/10/2026
04/17/2026
IV
270mg
Q8h
Acute Appendicitis
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: