Tenajora, Merina A.

HRN: 06-15-07  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/23/2023
CEFTRIAXONE 1G (VIAL)
09/23/2023
09/29/2023
IV
2g
OD
CAP MR
Checking Final Appropriateness 
09/23/2023
AZITHROMYCIN 500MG TABLET (TAB)
09/23/2023
09/27/2023
PO
500MG
OD
CAP MR
Waiting Final Action 
09/25/2023
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
09/25/2023
09/25/2023
IV
4.5g
Drip For 2 Hours
CAP MR; PTB
Waiting Final Action 
09/25/2023
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
09/25/2023
10/02/2023
IV
2.25gm
Q6H
CAP MR; PTB
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: