Bucaya, Merry Jean .

HRN: 22-70-77  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/27/2023
AZITHROMYCIN 500MG TABLET (TAB)
10/27/2023
10/31/2023
PO
500mg
OD
CAP-MR
Checking Final Appropriateness 
10/27/2023
CEFTRIAXONE 1G (VIAL)
10/27/2023
11/03/2023
IV
2g
OD
CAP-MR
Checking Final Appropriateness 
10/28/2023
CEFTAZIDIME 1GM (VIAL)
10/28/2023
11/03/2023
IV
1g
Q8
Aspiration Pneumonia
Checking Final Appropriateness 
10/28/2023
LEVOFLOXACIN 5MG/ML, 100ML (VIAL)
10/28/2023
11/01/2023
IV
500MG
OD
Aspiration Pneumonia
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

 Indication:

              

 Type of Infection:

                             

           

 Compliance to guidelines:



 Initial appropriateness:



 If inappropriate:

           

 Final appropriateness:



 If inappropriate:

              

 Overall appropriateness: