Reyes, Carmelito M.

HRN: 23-35-87  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/19/2023
CEFTAZIDIME 1GM (VIAL)
07/19/2023
07/25/2023
IV
1g
Q8
Cap HR
Waiting Final Action 
07/19/2023
AZITHROMYCIN 500MG TABLET (TAB)
07/19/2023
07/23/2023
ORAL
500mg
OD
Cap HR
Waiting Final Action 
07/22/2023
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
07/22/2023
07/28/2023
IV
4.5g
Q6
CAP HR
Waiting Final Action 
07/22/2023
CEFTAZIDIME 1GM (VIAL)
07/22/2023
07/28/2023
IV
1g
Q8
CAP HR
Waiting Final Action 
07/22/2023
LEVOFLOXACIN 500MG (TAB)
07/22/2023
07/26/2023
PO
750mg
OD
CAP HR
Waiting Final Action 
07/25/2023
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
07/25/2023
07/31/2023
IV
4.5
Q6
CAP HR
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: