Pairat, Yasser A.

HRN: 23-11-45  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/25/2023
CEFUROXIME 750MG (VIAL)
05/25/2023
06/01/2023
IV
230mg
Q8h
Pcap C
Checking Final Appropriateness 
05/26/2023
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
05/26/2023
06/01/2023
IV DRIP
600mg
Q8
Sepsis
Checking Final Appropriateness 
06/01/2023
MUPIROCIN 2%, 15G (TUBE)
06/01/2023
06/07/2023
TOPICAL
NA
TID
INFECTED WOUND
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: