Beringuel, Ronie B.

HRN: 22-35-30  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/23/2022
CO-AMOXICLAV 625MG (TAB)
12/23/2022
12/29/2022
PO
625mg
BID
UTI
Waiting Final Action 
12/24/2022
CEFTRIAXONE 1G (VIAL)
12/24/2022
12/30/2022
IV
2gm
OD
Intraabdominal Infection; Cholcystitis
Waiting Final Action 
12/26/2022
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
12/26/2022
01/01/2023
IV
500 Mg
Q8H
AGE
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: