Am-is, Arch Theone .

HRN: 23-88-73  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/12/2023
AMPICILLIN 250MG (VIAL)
10/12/2023
10/18/2023
IVT
150mg
Q6hrs
Pcap C
Waiting Final Action 
10/13/2023
CEFTRIAXONE 1G (VIAL)
10/13/2023
10/19/2023
IVTT
450 Mg
OD
Pcap C
Waiting Final Action 
10/16/2023
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
10/16/2023
10/22/2023
IVT
300mg
Q6hrs
Pneumonia Severe
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: