Villetes, Ricardo .

HRN: 23-52-46  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/12/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
08/12/2023
08/18/2023
IVT
500mg
Q8
T/C Tetanus Infection
Checking Final Appropriateness 
08/12/2023
CEFTRIAXONE 1G (VIAL)
08/12/2023
08/19/2023
IV
2gms
OD
Aspiration Pneumonia
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: