Jordan, Emidio M.

HRN: 14-46-01  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/29/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
01/29/2023
02/04/2023
IV
500mg
Q8hrs
T/C Abdominal Infection
Waiting Final Action 
02/06/2023
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
02/06/2023
02/06/2023
IV
4.45g
As LD
HAP
Waiting Final Action 
02/06/2023
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
02/06/2023
02/13/2023
IV
2.25g
Q8
HAP
Waiting Final Action 
02/06/2023
LEVOFLOXACIN 500MG (TAB)
02/06/2023
02/13/2023
PO
750mg
Every Other Day
HAP
Waiting Final Action 

AMS Audit Form


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Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: