Castillon, Jorenda S.

HRN: 23-11-88  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/27/2023
AZITHROMYCIN 500MG TABLET (TAB)
05/27/2023
06/01/2023
PO
1 Tab
OD
CAP-MR
Waiting Final Action 
05/27/2023
CEFTRIAXONE 1G (VIAL)
05/27/2023
06/03/2023
IV
2 Grams
Q24H
CAP-MR
Waiting Final Action 
05/27/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
05/27/2023
06/17/2023
500MG
500mg
Q6hrs
Abdominal Infection
Waiting Final Action 
05/27/2023
LEVOFLOXACIN 5MG/ML, 100ML (VIAL)
05/27/2023
06/02/2023
IV
750mg
OD
Pneumonia
Waiting Final Action 
05/30/2023
AZITHROMYCIN 500MG TABLET (TAB)
05/30/2023
06/03/2023
ORAL
500mg/tab
OD
CAP-MR
Waiting Final Action 
05/31/2023
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
05/31/2023
06/06/2023
IV INFUSION
1.5gm
Q6
Psoas Abscess
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: