Moniba, Carlito A.

HRN: 18-95-40  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/09/2023
CEFTRIAXONE 1G (VIAL)
03/09/2023
03/16/2023
IV
2g
OD
Bowel Obstruction
Waiting Final Action 
03/09/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
03/09/2023
03/16/2023
IV
500mg
Q8
Bowel Obstruction
Waiting Final Action 
03/11/2023
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
03/11/2023
03/18/2023
IVT
2.25gm
Q6
T/c Partial Bowel Obstruction
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: