Gomez, Pacita A.

HRN: 26-02-90  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/13/2024
CEFTRIAXONE 1G (VIAL)
10/13/2024
10/19/2024
IV
2g
OD
Cap-MR; UTI
Waiting Final Action 
10/14/2024
AZITHROMYCIN 500MG TABLET (TAB)
10/14/2024
10/18/2024
ORAL
500mg
OD
CAP-MR
Waiting Final Action 
10/15/2024
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
10/15/2024
10/21/2024
IVT
4.5g
Q6
Complicated UTI
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: