Corbo, Christian .

HRN: 23-01-30  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/08/2023
CEFTRIAXONE 1G (VIAL)
05/08/2023
05/14/2023
IV
500mg
OD
PCAP D
Waiting Final Action 
05/08/2023
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
05/08/2023
05/14/2023
IV
25mg
Q8H
PCAP D
Waiting Final Action 
05/14/2023
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
05/14/2023
05/21/2023
IV
500mg
Q8
PCAP
Waiting Final Action 
05/20/2023
MUPIROCIN 2%, 15G (TUBE)
05/20/2023
05/27/2023
IV
Topical
Bid
Pcap D
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: