Duetes, Tyler Zane .

HRN: 24-00-77  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/06/2024
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
03/06/2024
03/13/2024
IV
135mg
Q6h
PCAP C
Waiting Final Action 
03/14/2024
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
03/14/2024
03/20/2024
IV
70mg
Q8h
AGE With Moderate Dehydration
Waiting Final Action 
03/14/2024
CLARITHROMYCIN 125MG/5ML, 60ML SUSPENSION (BOT)
03/14/2024
03/20/2024
PO
2ml
Q12h
PCAP C
Waiting Final Action 
03/16/2024
MUPIROCIN 2%, 15G (TUBE)
03/16/2024
03/22/2024
TOPICAL
Apply
BID
Skin Infection
Waiting Final Action 
03/16/2024
METRONIDAZOLE 125MG/5ML, 60ML (BOT)
03/16/2024
03/23/2024
PO
2.5mL
TID
AGE With Moderate Dehydration
Waiting Final Action 
03/16/2024
CEFTRIAXONE 1G (VIAL)
03/16/2024
03/23/2024
IV
670mg
OD
PCAP C
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: