Delos Santos, Airich T.

HRN: 23-78-36  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/26/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
09/26/2023
10/05/2023
IV
175mg
Q8hrs
Amoebiasis
Waiting Final Action 
09/27/2023
CEFUROXIME 1.5GM (VIAL)
09/27/2023
10/03/2023
IV
435mg
Q8
AGE
Waiting Final Action 
09/30/2023
CEFTRIAXONE 1G (VIAL)
09/30/2023
10/07/2023
IV DRIP
1g
Q24
T/C UTI
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: