Gutierrez, Khent Andrey C.

HRN: 19-63-18  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/26/2022
CEFTRIAXONE 1G (VIAL)
09/26/2022
10/03/2022
IV
1g
Q24h
Pcap D
Waiting Final Action 
09/26/2022
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
09/26/2022
10/03/2022
IV
1g
Q8h
Pcap D
Waiting Final Action 
09/28/2022
AZITHROMYCIN 200MG/5ML, 15ML SUSPENSION (SUSP)
09/28/2022
10/05/2022
ORAL
2.5 Ml
OD
Pcap D
Waiting Final Action 
08/25/2023
CEFUROXIME 750MG (VIAL)
08/25/2023
09/01/2023
IV
380mg
TID
PCAP C
Waiting Final Action 
08/29/2023
CEFTRIAXONE 1G (VIAL)
08/29/2023
09/05/2023
IV DRIP
900mg
Q24
PCAP C; AOM
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: