Donor, Alexes D.

HRN: 11-29-03  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/07/2024
AZITHROMYCIN 500MG TABLET (TAB)
11/07/2024
11/11/2024
ORAL
500mg
OD
Pneumonia
Waiting Final Action 
11/07/2024
CEFTRIAXONE 1G (VIAL)
11/07/2024
11/14/2024
IV
2g
IV
Pneumonia
Waiting Final Action 
11/11/2024
CEFIXIME 200MG (CAP)
11/11/2024
11/17/2024
ORAL
200mg
BID
CAP Mr
Waiting Final Action 
11/28/2024
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
11/28/2024
11/28/2024
IV
4.5
LD
Cap Hr
Waiting Final Action 
11/28/2024
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
11/28/2024
12/05/2024
IV
2.25
Q6
CAP HR
Waiting Final Action 
11/28/2024
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
11/28/2024
12/04/2024
IV
500mg
Q6
Intraabdominal Infection
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: