Baguio, Geraldine .

HRN: 23-11-90  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/27/2023
CEFTRIAXONE 1G (VIAL)
05/27/2023
06/03/2023
IV
2g
OD
UTI
Waiting Final Action 
05/28/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
05/28/2023
06/04/2023
IV
500mg
Q8
T/C Abdominal Infection
Waiting Final Action 
05/28/2023
CEFUROXIME 1.5GM (VIAL)
05/28/2023
06/04/2023
IV
1.5gms
Q8
T/C Abdominal Infection
Waiting Final Action 
06/02/2023
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
06/02/2023
06/08/2023
IV
4.5g
Q8
CAP HR
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: