Arnoco, Diego .

HRN: 23-87-76  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/11/2023
CEFUROXIME 750MG (VIAL)
10/11/2023
10/17/2023
IV
750mg
Q8
UTI
Waiting Final Action 
10/13/2023
CEFTRIAXONE 1G (VIAL)
10/13/2023
10/19/2023
IV
2g
Od
Pcap
Waiting Final Action 
10/16/2023
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
10/16/2023
10/23/2023
IV
1.25g
Q6hours
Sepsis
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: