Alferez, Eferen A.

HRN: 22-58-12  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/08/2023
CEFTRIAXONE 1G (VIAL)
02/08/2023
02/14/2023
IV
2gm
Q24
Cap Mr
Waiting Final Action 
02/08/2023
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
02/08/2023
02/15/2023
IV
4.5g
Q6
CAP-MR; T/C PTB Laryngitis
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: