Amulan, Cungan M.

HRN: 11-09-05  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/27/2024
CEFTRIAXONE 1G (VIAL)
04/27/2024
05/03/2024
IV
2 Gms
OD
CAP MR
Waiting Final Action 
04/28/2024
CLARITHROMYCIN 500MG (CAP)
04/28/2024
05/04/2024
PO
500 Mg
BID
CAP MR
Waiting Final Action 
05/07/2024
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
05/07/2024
05/13/2024
IVT
4.5g
Q6
CAP HR
Waiting Final Action 
05/31/2024
CEFTAZIDIME 1GM (VIAL)
05/31/2024
06/06/2024
IV
1g
Q8h
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: