Chavez, Ernesto .

HRN: 15-71-72  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/02/2025
CEFTRIAXONE 1G (VIAL)
07/02/2025
07/09/2025
IV DRIP IN 2 HOURS
2g
OD
T/C Septic Arthritis
Remove - Pending Acceptance
07/02/2025
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
07/02/2025
07/09/2025
IV
4.5g As LD Then 2.25g
Q8
Septic Arthritis
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: