Bontia, Rebecca L.

HRN: 19-05-94  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/26/2022
AZITHROMYCIN 500MG TABLET (TAB)
06/26/2022
06/30/2022
PER OREM
500mg
OD
Pulmonary Infiltrates
Waiting Final Action 
06/26/2022
CEFTRIAXONE 1G (VIAL)
06/26/2022
07/02/2022
IVTT
2g
Q24
Pulmonary Infiltrates
Waiting Final Action 
07/01/2022
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
07/01/2022
07/01/2022
IVTT
4.5
Now
CAP MR
Waiting Final Action 
07/01/2022
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
07/01/2022
07/07/2022
IVTT
2.25
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: