Ponce, Kyrie Jay .

HRN: 26-46-17  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/30/2024
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
12/30/2024
01/06/2025
INTRAVENOUS
592 Mg IV Drip
Every 6 Hours
PCAP-C
Waiting Final Action 
12/31/2024
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
12/31/2024
01/07/2025
INTRAVENOUS
110 Mg
Every 24 Hours
PCAP-C
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: