Sabang, Marian C.

HRN: 18-67-47  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/28/2023
CEFTRIAXONE 1G (VIAL)
07/28/2023
08/03/2023
IVTT
2g
Q24
PCAP C
Waiting Final Action 
07/28/2023
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
07/29/2023
08/05/2023
IV
1.5gms
QID
PTB
Waiting Final Action 

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: