Mandeg, Chelly G.

HRN: 23-05-53  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/20/2024
CEFUROXIME 750MG (VIAL)
04/20/2024
04/26/2024
IV
215mg
Q8h
PCAP B
Waiting Final Action 
04/24/2024
CEFTRIAXONE 1G (VIAL)
04/24/2024
04/30/2024
IV
440
Q24
Pcap
Waiting Final Action 
04/29/2024
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
04/29/2024
05/05/2024
IV
220mg
Q6
Sepsis
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: