Pahayahay, Rolando D.

HRN: 20-37-33  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/04/2023
CEFUROXIME 1.5GM (VIAL)
08/04/2023
08/10/2023
IVTT
2g
OD
Intra Abdominal Infection; Post Op
Waiting Final Action 
08/04/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
08/04/2023
08/10/2023
IVTT
500 Mg
Q8
Intra Abdominal Infection; Post Op
Waiting Final Action 
08/04/2023
CEFTRIAXONE 1G (VIAL)
08/04/2023
08/10/2023
IVTT
2g
OD
Intra Abdominal Infection; Post Op
Waiting Final Action 
08/04/2023
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
08/04/2023
08/11/2023
IV
4.5
Q6HRS
SSI
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: