Ceniza, Melan B.

HRN: 22-99-10  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/30/2023
CEFTRIAXONE 1G (VIAL)
04/30/2023
05/07/2023
IV
2g
OD
Acute Appendicitis
Waiting Final Action 
04/30/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
04/30/2023
05/07/2023
IV
500mg
Q8hrs
Acute Appendicitis
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

 Indication:

              

 Type of Infection:

                             

           

 Compliance to guidelines:



 Initial appropriateness:



 If inappropriate:

           

 Final appropriateness:



 If inappropriate:

              

 Overall appropriateness: