Suson, Benjamin C.

HRN: 24-57-84  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/15/2024
CEFTRIAXONE 1G (VIAL)
02/15/2024
02/19/2024
IV
2g
OD
CAP-MR
Waiting Final Action 
02/15/2024
AZITHROMYCIN 500MG TABLET (TAB)
02/15/2024
02/19/2024
OD
500 Mg
OD
CAP-MR
Waiting Final Action 
02/17/2024
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
02/17/2024
02/24/2024
IV
2.25gms
Q6
Sepsis
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: