Carillo, Louis John M.

HRN: 24-24-60  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/14/2023
CEFTRIAXONE 1G (VIAL)
12/14/2023
12/21/2023
IV
1.5 G
Once A Day
T/c Acute Appendicitis Vs UTI
Checking Final Appropriateness 
12/14/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
12/14/2023
12/21/2023
IV
350 Mg
Q8
T/c Acute Appendicitis Vs UTI
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: