Gio, Agustina B.

HRN: 08 59 74  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/28/2024
CEFTRIAXONE 1G (VIAL)
11/28/2024
12/04/2024
IV
2gm
OD
Cap
Waiting Final Action 
11/28/2024
AZITHROMYCIN 500MG TABLET (TAB)
11/28/2024
12/02/2024
PO
500
OD
Cap
Waiting Final Action 
12/03/2024
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
12/03/2024
12/03/2024
IV
4.5g
Now
CAP-MR
Rejected 
12/03/2024
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
12/03/2024
12/10/2024
IV
2.25g
Q8h
CAP-MR
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: