Rustea, Juhaina L.

HRN: 21-65-50  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/29/2022
CEFTRIAXONE 1G (VIAL)
07/29/2022
08/05/2022
IVT
410 Mg
12 Hrs
PCAO C
Waiting Final Action 
08/06/2022
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
08/06/2022
08/12/2022
IVT
65
Q6
T/C Hospital Acquired Pneumonia
Waiting Final Action 
08/06/2022
FLUCONAZOLE 50MG (CAP)
08/06/2022
08/12/2022
IVT
76 Mg LD Then 38mg MD
Q24
T/C Hospital Acquired Infection
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: