Nesnia, Maria Alona .

HRN: 01-43-77  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/12/2025
AMPICILLIN 1GM (VIAL)
07/12/2025
07/19/2025
IV
2g
Q6h
RBOW
Checking Initial Appropriateness 
07/12/2025
CEFUROXIME 1.5GM (VIAL)
07/12/2025
07/12/2025
IV
1.5g
Now
CS
Checking Initial Appropriateness 
07/12/2025
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
07/12/2025
07/12/2025
IV
500mg
Now
Cs With Iud
Checking Initial Appropriateness 
07/12/2025
CEFUROXIME 500MG (TAB)
07/12/2025
07/18/2025
PO
500mg
Bid
Cs With Iud
Checking Initial Appropriateness 
07/15/2025
AZITHROMYCIN 500MG TABLET (TAB)
07/15/2025
07/19/2025
PO
500mg
OD
Cap LR
Waiting Final Action 
07/17/2025
CEFUROXIME 500MG (TAB)
07/17/2025
07/24/2025
PO
500mg
BID
SP CS
Checking Initial Appropriateness 
07/17/2025
AZITHROMYCIN 500MG TABLET (TAB)
07/17/2025
07/19/2025
PO
500mg
Od
CAP LR
Checking Initial Appropriateness 
07/18/2025
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
07/18/2025
07/25/2025
IV
4.5gms
Q8
Hospital Acquired Pneumonia
Checking Initial 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: