Ganub, Agustina O.

HRN: 02-51-20  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/25/2024
AZITHROMYCIN 500MG TABLET (TAB)
05/25/2024
05/30/2024
PER NGT
500mg
OD
CAP
Waiting Final Action 
05/25/2024
CEFTAZIDIME 1GM (VIAL)
05/25/2024
06/01/2024
IV
1g
Q8H
CAP
Waiting Final Action 
05/25/2024
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
05/25/2024
06/01/2024
IV
2.25g
Q6H
CAP-MR
05/25/2024
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
05/25/2024
06/01/2024
IV
2.25g
Q6H
CAP-HR
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: