Dela Peña, Anita .

HRN: 26-30-48  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/29/2024
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
11/29/2024
11/29/2024
IV
4.5g
Loading Dose Now
Pneumonia
Waiting Final Action 
11/29/2024
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
11/29/2024
12/13/2024
IV
2.25g
Q8H
Pneumonia
Waiting Final Action 
11/29/2024
AZITHROMYCIN 500MG TABLET (TAB)
11/29/2024
12/04/2024
PO
500mg
OD
Pneumonia
Waiting Final Action 
12/02/2024
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
12/02/2024
12/08/2024
IV
500mg
Q6
Pneumonia
Waiting Final Action 
12/11/2024
LEVOFLOXACIN 5MG/ML, 100ML (VIAL)
12/11/2024
12/17/2024
IVTT
500 Mg
OD
Cap HR
Waiting Final Action 
12/15/2024
MUPIROCIN 2%, 15G (TUBE)
12/15/2024
12/21/2024
TOPICAL
Apply Bid
Bid
Wound
Waiting Final Action 

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: