Garcia, Salvador .

HRN: 09-21-28  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/21/2025
CEFTRIAXONE 1G (VIAL)
08/21/2025
08/28/2025
IVT
2g
OD
UTI
Checking Initial Appropriateness 
08/27/2025
CEFTAZIDIME 1GM (VIAL)
08/27/2025
09/03/2025
IV
500mg
Q48H
Complicated UTI
Checking Initial Appropriateness 
03/06/2026
OXACILLIN 500MG (VIAL)
03/06/2026
03/13/2026
IV
250mg
Q12h, Post HD On Dialysis Days
Bacteremia
Checking Initial Appropriateness 
03/06/2026
CEFTAZIDIME 1GM (VIAL)
03/06/2026
03/13/2026
IV
2gm
Q24H Post HD On Dialysis Days (3x A Week)
Bacteremia
Checking Initial Appropriateness 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: