Villagracia, Ronald P.

HRN: 26-68-62  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/13/2025
CEFTRIAXONE 1G (VIAL)
02/13/2025
02/19/2025
IV
2g
OD
CAP MR
Waiting Final Action 
02/21/2025
CEFTRIAXONE 1G (VIAL)
02/21/2025
02/28/2025
IVT
2 Gm
OD
Obstructive Uropathy Sec To Cystolithiasis; UTI
Waiting Final Action 
02/23/2025
CO-AMOXICLAV 625MG (TAB)
02/23/2025
03/01/2025
ORAL
625mg
Q8
SP Open Cystolithotomy
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: