Vios, Melchor T.

HRN: 27-37-62  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/27/2025
CEFTRIAXONE 1G (VIAL)
06/27/2025
07/03/2025
IV
2g
Od
CAPMR
Waiting Final Action 
06/27/2025
AZITHROMYCIN 500MG TABLET (TAB)
06/27/2025
07/01/2025
PO
500mg
OD
CAPMR
Waiting Final Action 
07/02/2025
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
07/02/2025
07/09/2025
IV
4.5g
Q8
CAP
Remove - Pending Acceptance
07/05/2025
METRONIDAZOLE 125MG/5ML, 60ML (BOT)
07/05/2025
07/12/2025
IV
500
Every 8 Hours
Prophylaxis
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: