Saranillo, Juaquina .

HRN: 24-66-20  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/01/2024
CEFTRIAXONE 1G (VIAL)
03/01/2024
03/08/2024
IV
2g
Q24h
Appendicitis
Waiting Final Action 
03/01/2024
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
03/01/2024
03/08/2024
IV
500 Mg
Q8h
Appe
Waiting Final Action 
03/06/2024
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
03/06/2024
03/13/2024
IVT
4.5g
Every 6 Hrs
Appendicitis
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: