Buga, Renzo Gabriel A.

HRN: 25-27-49  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/08/2024
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
06/08/2024
06/15/2024
IV
150mg
Q8
T/C Partial Bowel Obstruction
Waiting Final Action 
06/08/2024
CEFTRIAXONE 1G (VIAL)
06/08/2024
06/15/2024
IV
700mg
Q12
T/c Partia Bowel Obstruction
Waiting Final Action 
06/14/2024
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
06/14/2024
06/21/2024
IV
1g
Q8
T/C Partial Bowel Obstruction
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: