Alpad, Tolindon M.

HRN: 00-06-67  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/03/2022
CEFTRIAXONE 1G (VIAL)
11/03/2022
11/09/2022
IV
2g
OD
Typhoid Fever
Waiting Final Action 
11/04/2022
AZITHROMYCIN 500MG TABLET (TAB)
11/04/2022
11/08/2022
PO
500mg
OD
Pneumonia
Waiting Final Action 
11/05/2022
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
11/05/2022
11/12/2022
IV
2.25g
Q6
Aspiration Pneumonia
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: