Salon, Maria G.

HRN: 24-81-37  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/18/2024
CEFTRIAXONE 1G (VIAL)
09/18/2024
09/25/2024
IV
2g
OD
Cap Mr
Waiting Final Action 
09/18/2024
AZITHROMYCIN 500MG TABLET (TAB)
09/18/2024
09/22/2024
PO
500
OD
Cap Mr
Waiting Final Action 
09/19/2024
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
09/19/2024
09/25/2024
IV
4.5 Grams
Q 6 Hrs
Cap Mr
Rejected 

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: