Main, Apolinario L.

HRN: 21-73-60  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/28/2023
CEFUROXIME 1.5GM (VIAL)
02/28/2023
03/07/2023
IV
1.5g
Q8H
Acute Appendicitis
Waiting Final Action 
02/28/2023
METRONIDAZOLE 125MG/5ML, 60ML (BOT)
02/28/2023
03/07/2023
IV
500mg
Q8H
Acute Appendicitis
Waiting Final Action 
03/01/2023
SILVER SULFADIAZINE 1%, 25G CREAM (TUBE)
03/01/2023
03/07/2023
TOPICAL
25g
Bid
Burns
Waiting Final Action 
03/03/2023
CEFTRIAXONE 1G (VIAL)
03/03/2023
03/09/2023
IVT
2g
OD
Acute Ruptured Appendicitis With Localized Peritonitis, S/p EL, AP, Lavage
Waiting Final Action 
03/03/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
03/03/2023
03/07/2023
IVT
500mg
Q6
Acute Ruptured Appendicitis With Localized Peritonitis, S/p EL, AP, Lavage
Waiting Final Action 
03/04/2023
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
03/04/2023
03/09/2023
IV
4.5
Q6
Acute Ruptured Appendicitis
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: