Parantar, Rosita G.

HRN: 12-21-55  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/26/2026
CEFTRIAXONE 1G (VIAL)
01/26/2026
02/02/2026
IV
2g
OD
PMBO
Remove - Pending Acceptance
01/27/2026
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
01/26/2026
02/02/2026
IV
500mg
Q8
PMBO
Remove - Pending Acceptance
01/31/2026
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
01/31/2026
01/31/2026
IV
4.5
Loading Dose
CAP HR
Remove - Pending Acceptance
01/31/2026
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
01/31/2026
02/07/2026
IV
2.25
Q6
CAP HR
Remove - Pending Acceptance

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: