Maraat, Victoria, 00. D.

HRN: 00 62 50  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/22/2024
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
12/22/2024
12/28/2024
IV
2.25
Q6
Rectal Ca
Waiting Final Action 
12/29/2024
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
12/29/2024
01/05/2025
IV
2.25g
Q 8hrs
Rectal Ca
Waiting Final Action 
12/30/2024
LEVOFLOXACIN 5MG/ML, 100ML (VIAL)
12/30/2024
01/05/2025
IV
750mg Now Then 500mg OD Every Other Day
OD
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: