Bones, Jose T.

HRN: 23-52-76  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/14/2023
AZITHROMYCIN 500MG TABLET (TAB)
08/14/2023
08/20/2023
PO
500mg
OD
CAP MR
Waiting Final Action 
08/14/2023
CEFTRIAXONE 1G (VIAL)
08/14/2023
08/20/2023
IVT
2g
OD
CAP MR
Waiting Final Action 
08/21/2023
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
08/21/2023
08/28/2023
IV
4.5gms
Q8
Empirical Escalation
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: