Almerol, Juvilyn .

HRN: 23-84-00  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/04/2023
CEFTRIAXONE 1G (VIAL)
10/04/2023
10/11/2023
IVT
2g
OD
T/C Nephrolithiasis
Waiting Final Action 
10/03/2023
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
10/05/2023
10/11/2023
IV
1.5gm
Q6H
Acute Appendicitis
Waiting Final Action 
10/03/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
10/05/2023
10/11/2023
IV
500mg
Q8H
Acute Appendicitis
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

 Indication:

              

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 Compliance to guidelines:



 Initial appropriateness:



 If inappropriate:

           

 Final appropriateness:



 If inappropriate:

              

 Overall appropriateness: