Roa, Shawn Michael .

HRN: 23-65-27  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/04/2023
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
09/04/2023
09/10/2023
IVT
265mg
Q6hrs
Pcap C; T/c CHD
Waiting Final Action 
09/04/2023
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
09/04/2023
09/10/2023
IVT
105mg
OD
Pcap C; T/c CHD
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



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Final appropriateness:



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Overall appropriateness: