Lumiap, Loreto L.

HRN: 02-01-34  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/29/2024
AZITHROMYCIN 500MG TABLET (TAB)
02/29/2024
03/05/2024
PO
500mg
OD
CAP MR
Waiting Final Action 
02/29/2024
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
02/29/2024
03/07/2024
IV
2.25gms
Q8
CAP MR
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: