Cumba, Carmen G.

HRN: 17 34 49  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/30/2022
CEFTRIAXONE 1G (VIAL)
09/30/2022
10/07/2022
IV
2gm
OD
Urosepsis, CBC, UA
Waiting Final Action 
10/03/2022
AZITHROMYCIN 500MG TABLET (TAB)
10/03/2022
10/07/2022
PO
500 Mg
Once A Day
Community Acquired Pneumonia
Waiting Final Action 
10/06/2022
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
10/06/2022
10/12/2022
IVTT
4.5 G
Q8
Urosepsis,
Waiting Final Action 

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: