Caingles, Romeo L.

HRN: 12-26-61  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/30/2024
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
10/30/2024
11/06/2024
IV
500
Q8
Age
Waiting Final Action 
10/30/2024
AZITHROMYCIN 500MG TABLET (TAB)
10/30/2024
10/30/2024
PO
500
Now Dose
Age
Waiting Final Action 
10/30/2024
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
10/30/2024
11/05/2024
IV
4.5g
Q8h
Pneumonia
Waiting Final Action 
10/30/2024
AZITHROMYCIN 500MG TABLET (TAB)
10/30/2024
11/03/2024
PO
500mg OD
Once Daily
Pneumonia
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: