Go, Epifania C.

HRN: 00-02-45  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/22/2024
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
06/22/2024
06/22/2024
IV
4.5 Gm
Initial Dose
Cellulitis, Complicated UTI
Waiting Final Action 
06/22/2024
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
06/22/2024
06/28/2024
IV
2.25 Gm
Q6H
Cellulitis, Complicated UTI
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: