Fullido, Fairi Shyn .

HRN: 20-36-46  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/03/2022
CEFUROXIME 750MG (VIAL)
06/03/2022
06/10/2022
IV
625
Q8
UTI
Waiting Final Action 
06/12/2023
CEFTRIAXONE 1G (VIAL)
06/12/2023
06/18/2023
IV
1.5gm
Q12H
PCAP-D
Waiting Final Action 
06/16/2023
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
06/16/2023
06/23/2023
IV
995mg
Q6
PCAP D
Waiting Final Action 
06/19/2023
CLINDAMYCIN 150MG/ML, 4ML (AMP)
06/19/2023
06/25/2023
IVTT
200mg
Ivtt
PCAP D
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: