Salvador, Ashraf O.

HRN: 22-50-96  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/27/2023
CEFUROXIME 750MG (VIAL)
01/27/2023
02/03/2023
IV
210mg
Q8
AGE With Mod DHN
Waiting Final Action 
01/27/2023
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
01/27/2023
02/03/2023
IVTT
480mg
Q6
Pcap
Waiting Final Action 
01/28/2023
MUPIROCIN 2%, 15G (TUBE)
01/28/2023
02/02/2023
TOPICAL
Apply On Affected Area
12 Hrs
Infected IV Site
Waiting Final Action 
01/30/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
01/30/2023
02/08/2023
IV
65
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: