Hernando, Ricardo M.

HRN: 23-78-76  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/03/2023
CEFTRIAXONE 1G (VIAL)
10/03/2023
10/09/2023
IV
2g
OD
Cap Hr
Waiting Final Action 
10/09/2023
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
10/09/2023
10/15/2023
IV
4.5g
Q6h
CAP HR
Waiting Final Action 
10/18/2023
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
10/18/2023
10/20/2023
IV INFUSION
4.5g
Q6H
PTB CAP HR
Waiting Final Action 
10/24/2023
LEVOFLOXACIN 500MG (TAB)
10/24/2023
10/30/2023
ORAL
750mg
OD
CAP-HR
Waiting Final Action 
10/26/2023
SILVER SULFADIAZINE 1%, 25G CREAM (TUBE)
10/26/2023
11/02/2023
TOPICAL
1%
BID
Decubitus Ulcer
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: