Dutosme, Ramil S.

HRN: 13-08-45  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/06/2024
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
06/06/2024
06/19/2024
IV
4.5gm
Q6
CAP MR
Waiting Final Action 
06/20/2024
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
06/20/2024
06/27/2024
IV
4.5gms
Q6
Intra-abdominal Infection
Waiting Final Action 
06/20/2024
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
06/20/2024
06/27/2024
IV
500mg
Q8
Intra-abdominal Infection
Waiting Final Action 
06/22/2024
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
06/27/2024
07/04/2024
IV
4.5gms
Q6
Intra-abdominal Infection
Waiting Final Action 
06/22/2024
LEVOFLOXACIN 500MG (TAB)
06/22/2024
06/29/2024
PO
500mg
OD
Intra-abdominal Infection
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: