Magsucang, Ramon F.

HRN: 24-26-91  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/24/2023
CEFTRIAXONE 1G (VIAL)
12/24/2023
12/30/2023
IV
2grams
OD
CAP-MR
Waiting Final Action 
12/29/2023
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
12/29/2023
01/04/2024
IV
4.5g
Q8
CAP-MR
Rejected 
12/30/2023
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
12/30/2023
01/06/2024
IV
4.5 Gm
Q8
CAP-MR
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: