Bugtong, Lorena R.

HRN: 26-35-46  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/09/2024
CEFTRIAXONE 1G (VIAL)
12/09/2024
12/15/2024
IVT
2g
OD
Pleural Effusion Right; CAP MR
Waiting Final Action 
12/09/2024
AZITHROMYCIN 500MG TABLET (TAB)
12/09/2024
12/13/2024
PO
500mg
OD
Pleural Effusion Right; CAP MR
Waiting Final Action 
12/28/2024
LEVOFLOXACIN 500MG (TAB)
12/29/2024
01/03/2025
PO
500 Mg
Od
Pleural Effusion
Waiting Final Action 
12/28/2024
LEVOFLOXACIN 5MG/ML, 100ML (VIAL)
12/28/2024
12/28/2024
IV
500 Mg
Now
Pleural Effusion
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: