Mindaros, Romeo P.

HRN: 24-38-15  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/06/2024
CEFUROXIME 750MG (VIAL)
08/06/2024
08/12/2024
1.5 G
1.5 G
Q12
Cap-MR
Rejected 
08/06/2024
AZITHROMYCIN 500MG TABLET (TAB)
08/06/2024
08/10/2024
PO
500 Mg/tab, 1 Tab
OD
Cap-MR
Waiting Final Action 
08/08/2024
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
08/08/2024
08/08/2024
IV
4.5g Now Then 2.25g
Q8
CAP MR
Waiting Final Action 
08/12/2024
GENTAMICIN 40MG/ML, 2ML (AMP)
08/12/2024
08/12/2024
IVTT
80mg
Stat Dose
IJ Prophylaxis
Waiting Final Action 
08/14/2024
LEVOFLOXACIN 5MG/ML, 100ML (VIAL)
08/14/2024
08/21/2024
IV
500mg
OD
Septic Shock Sec To HAP
Waiting Final Action 
08/20/2024
CO-AMOXICLAV 625MG (TAB)
08/20/2024
08/24/2024
ORAL
625mg
TID
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: