Cantiveros, Almera M.

HRN: 29-21-42  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/24/2026
CEFTRIAXONE 1G (VIAL)
06/24/2026
07/01/2026
IV
2grams
Once Daily
T/C Acute Appendicitis
Checking Initial Appropriateness 
06/24/2026
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
06/24/2026
07/01/2026
IV
500mg
Every 8hrs
T/C Acute Appendicitis
Checking Initial Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: