Ytang, Nathan Denz A.

HRN: 19-23-97  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/11/2023
CEFUROXIME 750MG (VIAL)
11/11/2023
11/18/2023
IV
380mg
Q8
Pcap C
Waiting Final Action 
11/11/2023
CEFTRIAXONE 1G (VIAL)
11/11/2023
11/18/2023
IV
1g
OD
PCAP-C
Waiting Final Action 
11/15/2023
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
11/15/2023
11/22/2023
IVTT
560mg
Q6H
PCAP C
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: