Gapor, Peter .

HRN: 02-14-52  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/12/2024
AZITHROMYCIN 500MG TABLET (TAB)
02/12/2024
02/16/2024
PER NGT
500mg
OD
Pneumonia
Waiting Final Action 
02/13/2024
CEFTRIAXONE 1G (VIAL)
02/13/2024
02/19/2024
IVT
2g
OD
Complicated UTI
Waiting Final Action 
03/25/2024
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
03/25/2024
04/01/2024
IV
4.5
Loading Dose
CAP HR
Waiting Final Action 
03/25/2024
LEVOFLOXACIN 500MG (TAB)
03/25/2024
04/01/2024
PO
750
OD
CAP
Waiting Final Action 
03/25/2024
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
03/25/2024
04/01/2024
PO
4.5
Q8
CAP HR
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: