Digol, Laurencia S.

HRN: 23-30-94  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/16/2023
CEFTRIAXONE 1G (VIAL)
07/16/2023
07/22/2023
IV DRIP
2 Grams
OD
Pneumonia
Waiting Final Action 
07/22/2023
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
07/22/2023
07/28/2023
IV
2.25
Q6
Sepsis Sec To CAP
Waiting Final Action 
07/22/2023
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
07/22/2023
07/28/2023
IV
4.5g
Q8
Sepsis Sec To CAP
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: