Nolia, Imelda .

HRN: 13-24-30  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/26/2024
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
08/26/2024
08/26/2024
IV
4.5G
LOADING DOSE
COMPLICATED UTI
Waiting Final Action 
08/26/2024
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
08/26/2024
09/01/2024
IV
4.5g
Q8h
Uti
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: