Avila, Viviana B.

HRN: 29-23-76  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/02/2026
CEFTRIAXONE 1G (VIAL)
07/02/2026
07/08/2026
IV
2gm
Q24H
Intraabdominal Infection
Remove - Pending Acceptance
07/02/2026
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
07/02/2026
07/08/2026
IV
500mg
Q6H
Ibtraabdominal Infection
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: