Costanera, Hepolito F.

HRN: 14-01-05  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/07/2024
CEFTRIAXONE 1G (VIAL)
04/07/2024
04/14/2024
IV
2 Grams
Once Daily
TBI Moderate Sec To Fall (~5ft)
Checking Final Appropriateness 
04/14/2024
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
04/14/2024
04/23/2024
IV
1.5g
Q6H
CAP MR
Checking Final Appropriateness 
04/15/2024
SODIUM FUSIDATE 20MG/G, 15G OINTMENT
04/15/2024
04/21/2024
TIPICAL
Apply On Affected Area
BID
T/c Phlebitis
Checking Final Appropriateness 
04/18/2024
SODIUM FUSIDATE 20MG/G, 15G OINTMENT
04/18/2024
04/24/2024
TOPICAL
NA
OD
Phlebitis
Waiting Final Action 
04/26/2024
CO-AMOXICLAV 625MG (TAB)
04/26/2024
05/02/2024
PO
625mg
TID
Soft Tissue Infection
Checking Final Appropriateness 

AMS Audit Form


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Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: