Benitez, Joilyn U.

HRN: 29-20-86  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/15/2026
AMPICILLIN 1GM (VIAL)
08/15/2026
08/17/2026
IV
2 Grams
Q6
THICKLY MSAF
Remove - Pending Acceptance
08/15/2026
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
08/15/2026
08/18/2026
IV
500
Q8
THICKLY MSAF
Remove - Pending Acceptance
08/16/2026
CEFUROXIME 500MG (TAB)
08/16/2026
08/23/2026
ORAL
500mg
BID
S/P LSTCS
Remove - Pending Acceptance
08/16/2026
METRONIDAZOLE 500MG (TAB)
08/16/2026
08/23/2026
ORAL
500mg
TID
S/P LSTCS
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: