Agustino, Alexander W.

HRN: 24-47-07  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/29/2024
CEFTRIAXONE 1G (VIAL)
01/29/2024
02/05/2024
IV
2g
OD
Ileus
Waiting Final Action 
01/29/2024
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
01/29/2024
02/05/2024
IV
500
Q6
Ileus
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: