Romano, Adelyn S.

HRN: 22-50-88  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/26/2023
CEFUROXIME 750MG (VIAL)
01/26/2023
02/02/2023
IV
750mg
Q8h
T/c Sepsis; Uti
Waiting Final Action 
01/26/2023
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
01/26/2023
02/02/2023
IV
1g
Q6h
Sepsis
Waiting Final Action 
01/27/2023
CLARITHROMYCIN 500MG (CAP)
01/27/2023
02/03/2023
PO
500mg
Q12
H Pylori Infection
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: