Pugoy, Nicanor M.

HRN: 12-16-15  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/06/2023
CEFTRIAXONE 1G (VIAL)
03/06/2023
03/13/2023
IV
2gm
OD
Incarcerated Indirect Inguinal Hernia
Waiting Final Action 
03/06/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
03/06/2023
03/13/2023
IV
500mg
Q8
Incarcerated Indirect Inguinal Hernia
Waiting Final Action 
03/09/2023
METRONIDAZOLE 500MG (TAB)
03/09/2023
03/13/2023
PO
500mg
Q8
Indirect Inguinal Hernia
Waiting Final Action 

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: