Jailani, Ajmir N.

HRN: 21-29-26  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/01/2022
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
05/01/2022
05/07/2022
IVTT
560 Mg
Q6
PCAP-C; MAssive Pleural Effusion, Right; Empyema Thoracis
Waiting Final Action 
05/01/2022
GENTAMICIN 40MG/ML, 2ML (AMP)
05/01/2022
05/07/2022
IVTT
37.5
Q24h
Pcap-c; MAssive Pleural Effusion,right; Empyema Thoracis
Waiting Final Action 
05/08/2022
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
05/01/2022
05/14/2022
IVT
560 Mg
Q6
PCAP C With Massive Pleural Effusion, To Complete Antibiotics For 10-14 Days
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: