Delacalsada, Lukkaya I.

HRN: 26-00-36  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/05/2024
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
10/05/2024
10/12/2024
IV
4.5g
Q8
Abscess
Waiting Final Action 
10/11/2024
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
10/11/2024
11/01/2024
IV
4.5g
Q6
Carbuncle
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: