Delos Reyes, Macaria R.

HRN: 21-82-62  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/21/2022
CEFTRIAXONE 1G (VIAL)
08/21/2022
08/27/2022
IVT
2g
OD
Cap Mr Uti
Waiting Final Action 
08/21/2022
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
08/21/2022
08/27/2022
IV
4.5 G
Q6H
Community Acquired Pneumonia - Moderate Risk
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: