Diana, Elizabeth G.

HRN: 12-63-82  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/31/2023
CEFTRIAXONE 1G (VIAL)
07/31/2023
08/07/2023
IVTT
2g
Q24
Acute Pyelonephritis
Waiting Final Action 
08/03/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
08/03/2023
08/10/2023
IV
500mg
Q 8hrs
Acute Pyelonephritis
08/12/2023
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
08/12/2023
08/19/2023
IV
4.5 Grams
Q8H
Acute Pyelonephritis
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: