Encallado, Jennilyn C.

HRN: 00-71-68  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/06/2023
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
09/06/2023
09/13/2023
IV
1.5g
Q6
Pleural Effusion Right Prob Sec To CAP MR
Waiting Final Action 
09/06/2023
AZITHROMYCIN 500MG TABLET (TAB)
09/06/2023
09/10/2023
PO
500mg
OD
Pleural Effusion Right Prob Sec To CAP MR
Waiting Final Action 
10/12/2023
AZITHROMYCIN 500MG TABLET (TAB)
10/12/2023
10/16/2023
PO
500mgtab
Q24
Cap Mr
Waiting Final Action 
10/12/2023
LEVOFLOXACIN 5MG/ML, 100ML (VIAL)
10/12/2023
10/18/2023
IV
500mg
Q24
Cap Mr
Waiting Final Action 
10/26/2023
DOXYCYCLINE 100MG (CAP)
10/26/2023
10/26/2023
FOR PLEURODESIS USE
10 Tabs
For Pleurodesis Use
For Pleurodesis Use
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: