Acosta, Saturnina C.

HRN: 00-47-20  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/28/2023
AZITHROMYCIN 500MG TABLET (TAB)
10/28/2023
11/01/2023
PO
500
Od
CAP MR
Waiting Final Action 
10/31/2023
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
10/31/2023
11/07/2023
IV
4.5g
Q8
CAP-HR
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: