Saladaga, Eden Rose .

HRN: 04-86-28  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/22/2026
METRONIDAZOLE 500MG (TAB)
07/22/2026
07/29/2026
PO
500mg
TID
Thickly MSAF
Remove - Pending Acceptance
07/22/2026
CEFUROXIME 500MG (TAB)
07/22/2026
07/29/2026
PO
500mg
BID
Thickly MSAF
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: