Siso, Diosdada A.

HRN: 10-08-42  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/06/2022
CEFTRIAXONE 1G (VIAL)
07/06/2022
07/12/2022
IV
2gm
Q24
CAP HR
Waiting Final Action 
07/06/2022
AZITHROMYCIN 500MG TABLET (TAB)
07/06/2022
07/10/2022
PER NGT
500mgtab
Q24
CAP HR
Waiting Final Action 
07/06/2022
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
07/06/2022
07/12/2022
IV
4.5
Q6
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: