Candia, Jimboy M.

HRN: 20-48-83  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/07/2022
SILVER SULFADIAZINE 1%, 25G CREAM (TUBE)
11/07/2022
11/14/2022
TOPICAL
1%
BID
Diaper Rash
Waiting Final Action 
11/07/2022
AMPICILLIN 500MG (VIAL)
11/07/2022
11/14/2022
IV
210mg
Q6
Pcap C
Waiting Final Action 
01/17/2023
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
01/17/2023
01/24/2023
IV
1.1g
Q6h
Pcap C
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: