Hilot, Aurelio M.

HRN: 04-75-95  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/28/2023
CEFTRIAXONE 1G (VIAL)
02/28/2023
03/06/2023
IV
2 Grams
OD
PMBO
Waiting Final Action 
02/28/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
02/28/2023
03/07/2023
IV
500 MG
TID
PMBO
Waiting Final Action 
03/01/2023
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
03/01/2023
03/08/2023
IV
4.5g
Q8
Septic Encepalopathy
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: