Amad, Cepriano B.

HRN: 16-84-43  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/10/2024
CEFTRIAXONE 1G (VIAL)
10/10/2024
10/17/2024
IVT
2g
OD
Small Bowel Obstruction
Waiting Final Action 
10/10/2024
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
10/10/2024
10/17/2024
IVT
500mg
Q8h
Small Bowel Obstruction
Waiting Final Action 
10/14/2024
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
10/14/2024
10/21/2024
IV
4.5g
Q8
Gastrointestinal Infection
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: