Usman, Gregoria .

HRN: 15-74-20  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/11/2024
CEFTRIAXONE 1G (VIAL)
08/11/2024
08/17/2024
IV
2g
OD
CAP-MR; Presumptive PTB
Waiting Final Action 
08/11/2024
AZITHROMYCIN 500MG TABLET (TAB)
08/11/2024
08/15/2024
PER NGT
500mg
OD
CAP-MR; Presumptive PTB
Waiting Final Action 
08/15/2024
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
08/15/2024
08/15/2024
IV
4.5g
Loading Dose
CAP-HR
Waiting Final Action 
08/15/2024
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
08/15/2024
08/24/2024
IV
2.25g
Q8
CAP-HR
Waiting Final Action 
08/16/2024
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
08/16/2024
08/30/2024
IV
4.5grams
Q8
CAP-HR
Waiting Final Action 
08/29/2024
LEVOFLOXACIN 500MG (TAB)
08/29/2024
09/15/2024
ORAL
1 1/2 Tab
OD
CAP
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: