Coraza, Marino A.

HRN: 02-98-69  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/27/2024
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
09/27/2024
09/27/2024
IV
4.5g
Loading Dose
Sepsis
Waiting Final Action 
09/27/2024
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
09/27/2024
10/03/2024
IV
2.25g
Q8h
Sepsis
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: