Alvarado, Maricel C.

HRN: 23-95-88  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/27/2025
CEFTRIAXONE 1G (VIAL)
04/27/2025
05/03/2025
IVTT
2g
Once A Day
T/C Intestinal Obstruction
Waiting Final Action 
05/02/2025
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
05/02/2025
05/09/2025
IV
4.5g
Q8h
T/C Sepsis
Waiting Final Action 
05/02/2025
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
05/02/2025
05/09/2025
IV
500mg
Q8h
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:



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Overall appropriateness: