Quizo, Renato R.

HRN: 24-07-39  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/10/2023
CEFTRIAXONE 1G (VIAL)
11/10/2023
11/16/2023
IV
1g
Q12
Cap Mr
Waiting Final Action 
12/05/2023
LEVOFLOXACIN 5MG/ML, 100ML (VIAL)
12/05/2023
12/11/2023
IV
750mg
Q24
Catheter Associated UTI
Waiting Final Action 
12/14/2023
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
12/14/2023
12/20/2023
IV
2.25gm
Q6
Uti
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: