Tamayo, Concordia A.

HRN: 12-41-87  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/03/2026
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
07/03/2026
07/10/2026
IVTT
500 Mg
Q8
Infectious Diarrhea
Checking Initial Appropriateness 
07/04/2026
CIPROFLOXACIN 500MG (TAB)
07/04/2026
07/11/2026
PO
500mg
Bid
Infectious Diarrhea
Checking Initial Appropriateness 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: