Gansad, Mary Jane .

HRN: 25-30-16  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/30/2024
CEFTRIAXONE 1G (VIAL)
06/30/2024
07/06/2024
IV
2gm
OD
Typhoid Fever
Waiting Final Action 
07/08/2024
CEFTRIAXONE 1G (VIAL)
07/08/2024
07/15/2024
IV
2 Grams
Every 12 Hours
T/c Bacterial Meningitis
Waiting Final Action 
07/08/2024
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
07/08/2024
07/15/2024
IV
4.5 Grams
Every 8 Hours
Sepsis
Waiting Final Action 
07/08/2024
CIPROFLOXACIN 500MG (TAB)
07/08/2024
07/15/2024
PER OREM
500mg
BID
T/c Typhoid Fever
Waiting Final Action 
07/18/2024
CIPROFLOXACIN 500MG (TAB)
07/18/2024
07/25/2024
PO
500MG/TAB
BID
T/c Typhoid Fever
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: