Monton, Ronel .

HRN: 24-99-97  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/19/2024
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
05/19/2024
05/19/2024
IV
4.5g
As Loading Dose
Sepsis Sec. To AGE
Waiting Final Action 
05/19/2024
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
05/19/2024
05/26/2024
IV
2.25f
Q8hr
Sepsis Sec To AGE
Waiting Final Action 
05/21/2024
MUPIROCIN 2%, 15G (TUBE)
05/21/2024
05/28/2024
TOPICAL
1mg
BID
Skin Infection
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: