Diaz, Vecinta O.

HRN: 14 68 90  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/19/2023
CEFTRIAXONE 1G (VIAL)
01/19/2023
01/25/2023
IV
2gm
OD
T/C Acute Pyelonephritis
Waiting Final Action 
01/27/2023
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
01/27/2023
02/02/2023
IVT
4.5g
Q8
Sepsis
Waiting Final Action 
01/27/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
01/27/2023
02/02/2023
IVT
500mg
Q8
Sepsis
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: