Nongo, Arniel .

HRN: 23-13-92  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/09/2023
CEFTRIAXONE 1G (VIAL)
06/09/2023
06/15/2023
IV
2g
OD
T/C Acue Cholecystitis
Waiting Final Action 
06/09/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
06/09/2023
06/15/2023
IV
500mg
Q8
T/C Acute Cholecystitis
Waiting Final Action 
06/09/2023
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
06/17/2023
06/24/2023
IV
4.5 G
Q6
Liver Abscess
Waiting Final Action 
06/17/2023
METRONIDAZOLE 500MG (TAB)
06/17/2023
06/24/2023
ORAL
500mg/tab
Q8H
T/C Liver Abscess; Septicemia
Waiting Final Action 
06/18/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
06/18/2023
06/24/2023
IV
500mg
Q8
Hepatic Abscess
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: