Viñas, Magno, Sr. B.

HRN: 06-59-87  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/08/2022
CEFTRIAXONE 1G (VIAL)
05/08/2022
05/15/2022
IV
2gms
OD
Aspiration Pneumonia
Waiting Final Action 
05/08/2022
CLINDAMYCIN 150MG/ML, 4ML (AMP)
05/08/2022
05/15/2022
IV
600mg
Q8
Aspiration Pneumonia
Waiting Final Action 
05/15/2022
CEFIXIME 200MG (CAP)
05/15/2022
05/21/2022
PO
200mg
BID
UTI
Waiting Final Action 
04/30/2023
CEFTRIAXONE 1G (VIAL)
04/30/2023
05/06/2023
IV
2grams
OD
CAP-MR
Waiting Final Action 
04/30/2023
AZITHROMYCIN 500MG TABLET (TAB)
04/30/2023
05/02/2023
ORAL
500mg/tab
OD
CAP-MR
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: