Sarabia, Arnold N.

HRN: 25-25-71  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/08/2024
CEFTRIAXONE 1G (VIAL)
06/08/2024
06/14/2024
IVT
2g
OD
CAP MR
Waiting Final Action 
06/08/2024
AZITHROMYCIN 500MG TABLET (TAB)
06/08/2024
06/12/2024
ORAL
500mg
OD
CAP MR
Waiting Final Action 
06/09/2024
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
06/09/2024
06/15/2024
IV
4.5 G LD Then 2.25 G
Q8
CAP HR
Waiting Final Action 
06/28/2024
LEVOFLOXACIN 500MG (TAB)
06/28/2024
07/12/2024
PO
500mg
OD
CAP
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: