Sumayang, Nolasco L.

HRN: 24-37-97  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/19/2024
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
01/19/2024
01/25/2024
IV
4.5g
Q8
Sepsis
Waiting Final Action 
01/26/2024
LEVOFLOXACIN 500MG (TAB)
01/26/2024
02/02/2024
PO
1 Tab
OD
Sepsis
Waiting Final Action 

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: