Bation, Francisco C.

HRN: 23-82-42  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/01/2025
CEFTRIAXONE 1G (VIAL)
09/01/2025
09/08/2025
IVTT
2g
OD
Ruptured Viscus
Checking Initial Appropriateness 
09/01/2025
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
09/01/2025
09/08/2025
IVTT
500mg
Q8
Ruptured Viscus
Checking Initial Appropriateness 
09/03/2025
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
09/03/2025
09/10/2025
IVTT
4.5g
Q6
Perforated PUD; S/P Exlap
Checking Initial Appropriateness 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: