Alfaro, Merlyn D.

HRN: 01-24-35  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/24/2026
AZITHROMYCIN 500MG TABLET (TAB)
05/24/2026
05/30/2026
PO
500mg
OD
CAP MR
Rejected 
05/24/2026
CEFTRIAXONE 1G (VIAL)
05/24/2026
05/30/2026
IV
2g
OD
CAP MR
Checking Initial Appropriateness 
05/25/2026
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
05/25/2026
06/02/2026
IV
2.25g
Q8
CAP HR
Checking Initial Appropriateness 
05/31/2026
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
05/31/2026
06/07/2026
IV
2.25 + . 75g ( On HD Days)
Q8
CAP HR
Checking Initial Appropriateness 
06/09/2026
SILVER SULFADIAZINE 1%, 25G CREAM (TUBE)
06/09/2026
06/15/2026
TOPICAL
25g
BID
Sacral Ulcer
Remove - Pending Acceptance

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: