Ansag, Jonah A.

HRN: 23-84-65  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/05/2024
CEFTRIAXONE 1G (VIAL)
02/05/2024
02/12/2024
IV
2 Grams
Once Daily
AGE With Mild Dehydration R/O Acute Appendicitis
Checking Final Appropriateness 
02/05/2024
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
02/05/2024
02/12/2024
IV
500mg
Every 8 Hours
AGE With Mild Dehydration R/O Acute Appendicitis
Checking Final Appropriateness 
02/06/2024
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
02/06/2024
02/12/2024
IVTT
4.5 G
Q6
Ruptures AP ; S/P Exlap Appendectomy
Checking Final Appropriateness 
02/10/2024
AZITHROMYCIN 500MG TABLET (TAB)
02/10/2024
02/15/2024
PO
500mg
OD
CAP-mr
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: