Sambrana, Rheamarie O.

HRN: 29-13-76  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/19/2026
CEFTRIAXONE 1G (VIAL)
06/19/2026
06/25/2026
IV
2g
OD
Acute Appendicitis
Remove - Pending Acceptance
06/19/2026
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
06/19/2026
06/25/2026
IV
500mg
Q8
Acute Appendicitis
Remove - Pending Acceptance

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



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Final appropriateness:



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Overall appropriateness: