Talledo, Prince Kj C.

HRN: 22-93-61  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/28/2023
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
04/28/2023
05/04/2023
IV
450mg
Q6
Pcap
Waiting Final Action 
05/02/2023
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
05/02/2023
05/09/2023
IV
135mg
OD
PCAP-C
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: