Suan, Trinidad C.

HRN: 23-20-05  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/10/2023
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
11/10/2023
11/17/2023
IV
2.25g
Q6
CAP- MR
Rejected 
11/10/2023
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
11/10/2023
11/17/2023
IV
4.5
Q6h
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: