Gonzaga, Glecerio P.

HRN: 16 92 89  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/21/2024
GENTAMICIN 40MG/ML, 2ML (AMP)
09/21/2024
09/27/2024
IV
80mg
Q12
Pneumonia CKD
Waiting Final Action 
09/21/2024
CEFTRIAXONE 1G (VIAL)
09/21/2024
09/27/2024
IV
1gm
Q12
Pneumonia CKD
Waiting Final Action 
03/08/2025
METRONIDAZOLE 500MG (TAB)
03/08/2025
03/15/2025
PO
500MG
Q12
AMOEBIASIS
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: