Subo, Jaihana A.

HRN: 20-78-59  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/28/2023
CEFTRIAXONE 1G (VIAL)
01/28/2023
02/04/2023
IV
230mg
Q12
PCAP-C
Waiting Final Action 
02/15/2023
CEFUROXIME 750MG (VIAL)
02/15/2023
02/22/2023
IV
200 Mg
Q8
PCAP C
Waiting Final Action 
02/15/2023
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
02/15/2023
02/22/2023
IV
450 Mg
Q6
PCAP C
Waiting Final Action 
02/18/2023
NYSTATIN 100,000IU/ML, 30ML SUSPENSION (BOT)
02/18/2023
02/24/2023
PO
1ml
3 X A Day
PCAP-C
Waiting Final Action 
02/18/2023
FLUCONAZOLE 50MG (CAP)
02/18/2023
02/24/2023
PO
72 Mg As Loading Dose Then 36mg
Q24 Hours
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: