Catubay, Yuri Maccius -.

HRN: 23-23-78  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/27/2023
CEFTRIAXONE 1G (VIAL)
06/27/2023
07/04/2023
IV DRIP
700MG
Q24
T/C SEPSIS
Waiting Final Action 
07/01/2023
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
07/01/2023
07/08/2023
IV
500mg
Q6hours
Sepsis
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: