Siton, Ricardo A.

HRN: 23 94 07  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/18/2023
CEFTAZIDIME 1GM (VIAL)
10/18/2023
10/24/2023
IV
1gm
Q8
Cap MR; T/C Pulmonary Mass
Waiting Final Action 
10/19/2023
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
10/19/2023
10/26/2023
IV
4.5g
Q8
CAP-MR
Rejected 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: