Yanoc, Cherry Mae P.

HRN: 28-58-97  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/05/2026
CEFAZOLIN 1GM (VIAL)
08/05/2026
08/07/2026
IV
1 Gram
Q8
S/P
Remove - Pending Acceptance
08/05/2026
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
08/05/2026
08/11/2026
IV
500mg
Q8
S/P CS
Remove - Pending Acceptance
08/05/2026
METRONIDAZOLE 500MG (TAB)
08/08/2026
08/12/2026
ORAL
500mg
TID
S/P CS
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: