Pallorin, Jovelyn .

HRN: 23-36-02  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/20/2023
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
07/20/2023
07/27/2023
IV
4.5
Q6
Sepsis
Waiting Final Action 
07/20/2023
CLINDAMYCIN 150MG/ML, 4ML (AMP)
07/20/2023
07/27/2023
IV
600
Q6
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: