Yubal, Aljen .

HRN: 25-47-77  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/15/2024
CEFTRIAXONE 1G (VIAL)
07/15/2024
07/22/2024
IV
2 Grams
OD
R/o Pancreatitis
Waiting Final Action 
07/15/2024
METRONIDAZOLE 500MG (TAB)
07/15/2024
07/22/2024
IV
500mg
Q 8hrs
R/o Pancreatitis
Waiting Final Action 
07/17/2024
METRONIDAZOLE 500MG (TAB)
07/17/2024
07/24/2024
PO
500mg Tab
TID
Post OP Prophylaxis
Waiting Final Action 
07/18/2024
AZITHROMYCIN 500MG TABLET (TAB)
07/18/2024
07/20/2024
PO
500mg
OD
CAP LR
Waiting Final Action 
10/24/2025
CEFUROXIME 500MG (TAB)
10/24/2025
10/30/2025
PO
500 Mg
BID
Sp RMLE And Repair
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: