Bungso, Parsima L.

HRN: 12-08-55  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/19/2024
CEFTRIAXONE 1G (VIAL)
03/19/2024
03/25/2024
IV
2 Grams
Q 24 Hrs
Uti
Waiting Final Action 
03/25/2024
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
03/25/2024
04/01/2024
IV
500mg
Q8h
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: