Masong, Harmelene C.

HRN: 10-67-36  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/02/2022
CEFTRIAXONE 1G (VIAL)
09/02/2022
09/08/2022
IV DRIP
2 Grams
OD
Uti, Atp
Waiting Final Action 
09/30/2022
NYSTATIN 100,000IU/ML, 30ML SUSPENSION (BOT)
09/30/2022
10/07/2022
TOPICAL
1ml
Q12Hrs
Tc Fungal Infection
Waiting Final Action 
09/30/2022
OXACILLIN 500MG (VIAL)
09/30/2022
10/07/2022
IV
575mg
Q6Hrs
Tc Fungal Infection
Waiting Final Action 
09/30/2022
CEFTRIAXONE 1G (VIAL)
09/30/2022
10/06/2022
IV
2g
Q24Hrs
Tc Fungal Infection
Waiting Final Action 
09/30/2022
FLUCONAZOLE 2MG/ML, 100ML (VIAL)
09/30/2022
10/07/2022
IV
276mg
Q24Hrs
Tc Fungal Infection
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: