Singson, Jovanny H.

HRN: 18-90-52  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/17/2023
CEFTRIAXONE 1G (VIAL)
11/17/2023
11/23/2023
IVT
800mg
OD
PCAP C
Checking Final Appropriateness 
11/20/2023
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
11/20/2023
11/27/2023
IV
500mg
Q6
PCAP
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: