Parreno, Daphney .

HRN: 21-09-19  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/29/2025
CEFUROXIME 500MG (TAB)
03/29/2025
04/04/2025
PO
500 Mg
Bid
Uti
Waiting Final Action 
03/29/2025
CEFTRIAXONE 1G (VIAL)
03/29/2025
04/04/2025
IV
2g
Once Daily
UTI
Waiting Final Action 
04/01/2025
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
04/01/2025
04/08/2025
IV
4.5g
Q6h
Acute Pyelonephritis, T/c Sepsis
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: