Balugtod, Larryven .

HRN: 21-87-78  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/04/2022
BENZYL PENICILLIN 1MU (VIAL)
09/04/2022
09/10/2022
IVT
1.2 MU
Q6
Leptospirosis
Waiting Final Action 
09/04/2022
CEFTRIAXONE 1G (VIAL)
09/04/2022
09/10/2022
IVT
2g
OD
Leptospirosis Severe
Waiting Final Action 
11/20/2022
CEFTAZIDIME 1GM (VIAL)
11/20/2022
11/26/2022
IV
1gram
Q8Hrs
Sepsis
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: