Walidatu, Baby Boy .

HRN: 21-52-32  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/03/2022
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
07/03/2022
07/09/2022
IVT
600mg Ivt
Q6
Sepsis
Waiting Final Action 
07/03/2022
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
07/03/2022
07/09/2022
IVT
600mg Ivt
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: