Montebon, Eustaquio B.

HRN: 13-51-01  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/02/2024
CEFTRIAXONE 1G (VIAL)
07/02/2024
07/08/2024
IV
2gms
OD
Pneumonia
Waiting Final Action 
07/02/2024
AZITHROMYCIN 500MG TABLET (TAB)
07/02/2024
07/06/2024
PO
500mg
OD
Pneumonia
Waiting Final Action 
07/16/2024
GENTAMICIN 40MG/ML, 2ML (AMP)
07/16/2024
07/16/2024
IV
80mg
Stat
IJ Prophylaxis
Waiting Final Action 
07/17/2024
GENTAMICIN 40MG/ML, 2ML (AMP)
07/17/2024
07/17/2024
IV
80 Mg
Once
IJ Cath Prophylaxis
Waiting Final Action 
07/19/2024
GENTAMICIN 40MG/ML, 2ML (AMP)
07/19/2024
07/19/2024
IV
80mg
STAT
IJ Cath Prophylaxis
Waiting Final Action 
07/19/2024
LEVOFLOXACIN 500MG (TAB)
07/19/2024
07/28/2024
PO
500mg
Q48
Cap Ckd
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: