Velasquez, Prince Adam S.

HRN: 18-80-38  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/28/2023
CEFUROXIME 750MG (VIAL)
04/28/2023
05/05/2023
IVT
500mg
Q8 Hours
UTI
Waiting Final Action 
05/01/2023
CEFTRIAXONE 1G (VIAL)
05/01/2023
05/07/2023
IV
1gram
Q24hr
T/C Dysentery
Waiting Final Action 
05/01/2023
METRONIDAZOLE 125MG/5ML, 60ML (BOT)
05/01/2023
05/07/2023
IV
10ml
TID
T/C Dysentery
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: