Velez, Dave R.

HRN: 22-86-39  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/12/2023
CEFTRIAXONE 1G (VIAL)
04/12/2023
04/19/2023
IV
2g
Q24hrs
T/C Viral/bacterial Encephalitis
Waiting Final Action 
04/18/2023
AZITHROMYCIN 200MG/5ML, 15ML SUSPENSION (SUSP)
04/18/2023
04/22/2023
ORAL
6.5ml
OD
Pcap
Waiting Final Action 
05/11/2023
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
05/11/2023
05/18/2023
IV
775 Mg
Q8
UTI
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: