Delima, Junel .

HRN: 19-70-18  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/26/2026
CEFTRIAXONE 1G (VIAL)
04/26/2026
05/02/2026
IV
2g
OD
Stab Wound
Remove - Pending Acceptance
04/26/2026
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
04/26/2026
05/04/2026
IV
500mg
Q8H
Penetrating Injury Sec To Stab Wound, Left Flank
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: