Sumpiao, Reno Jay M.

HRN: 17-49-57  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/05/2022
CEFTRIAXONE 1G (VIAL)
11/05/2022
11/11/2022
IV
2G
OD
Intraabdominal Infection
Waiting Final Action 
11/05/2022
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
11/05/2022
11/11/2022
IV
500mg
Q8
Intraabdominal Infection
Waiting Final Action 
11/05/2022
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
11/05/2022
11/11/2022
IVT
4.5g
Q6
Pneumonia, Sepsis
Waiting Final Action 
11/06/2022
CEFTAZIDIME 1GM (VIAL)
11/06/2022
11/12/2022
IV
1 Gram
Q8
Intraabdominal 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: