Balansag, Rodelia B.

HRN: 08-69-08  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/03/2024
CEFTRIAXONE 1G (VIAL)
07/03/2024
07/09/2024
IV
1G
Q12
INFECTED WOUND RIGHT FOOT SECONDARY TO BURNS
Waiting Final Action 
07/04/2024
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
07/04/2024
07/10/2024
IV DRIP
4.5g Then 2.25g
As LD Then Q8
DM Foot
Waiting Final Action 
07/09/2024
GENTAMICIN 40MG/ML, 2ML (AMP)
07/09/2024
07/09/2024
IV
80mg
Stat
IJ Prophylaxis
Waiting Final Action 
07/11/2024
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
07/11/2024
07/24/2024
IVT
2.25 G
Q8h
Infected Wound
Waiting Final Action 
07/11/2024
GENTAMICIN 40MG/ML, 2ML (AMP)
07/11/2024
07/11/2024
IVTT
80mg
Stat Dose
IJ Prophylaxis
Waiting Final Action 
07/12/2024
GENTAMICIN 40MG/ML, 2ML (AMP)
07/12/2024
07/12/2024
IV
80mg
Stat
IJ Prophylaxis
Waiting Final Action 

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: