Malolot, Harry D.

HRN: 24-19-91  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/15/2023
CEFTRIAXONE 1G (VIAL)
12/15/2023
12/22/2023
IV
2g
Q24hrs
Pcap-c
Waiting Final Action 
12/19/2023
GENTAMICIN 40MG/ML, 2ML (AMP)
12/19/2023
12/25/2023
IV
245mg
Q24
Sepsis
Waiting Final Action 
12/19/2023
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
12/19/2023
12/25/2023
IVT
3g
Q8
Sepsis
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

 Indication:

              

 Type of Infection:

                             

           

 Compliance to guidelines:



 Initial appropriateness:



 If inappropriate:

           

 Final appropriateness:



 If inappropriate:

              

 Overall appropriateness: