Pacifico, Corazon .

HRN: 26-68-44  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/14/2025
CEFTRIAXONE 1G (VIAL)
02/14/2025
02/21/2025
IV
2g
OD
Complicated Uti
Waiting Final Action 
02/16/2025
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
02/16/2025
02/16/2025
IV
4.5g
Loading Dose
UTI
Waiting Final Action 
02/16/2025
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
02/16/2025
02/22/2025
IV
2.25g
Q12H
UTI
Waiting Final Action 
02/19/2025
SILVER SULFADIAZINE 1%, 25G CREAM (TUBE)
02/19/2025
02/26/2025
TOPICAL
Apply On Affected Area
BID
Decubitus Ulcer
Waiting Final Action 
02/26/2025
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
02/26/2025
03/04/2025
IV
475 Mg
Q 48 Hrs
Prophylaxis
Waiting Final Action 
02/26/2025
MUPIROCIN 2%, 15G (TUBE)
02/26/2025
03/05/2025
TOPICAL
2%
BID
Pressure Ulcer
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: