Sutil, Evelyn T.

HRN: 21-50-75  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/10/2022
CEFTRIAXONE 1G (VIAL)
06/10/2022
06/16/2022
IV
2g
OD
UTI
Waiting Final Action 
06/17/2022
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
06/17/2022
06/23/2022
IV
4.5 Grams
Q8hrs
Empiric
Waiting Final Action 
06/24/2022
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
06/24/2022
06/30/2022
IVT
4.5g
Q8
Xanthogranulomatous Pyelonephritis
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: