Magallanes, Silvestre S.

HRN: 26-64-15  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/06/2025
CEFTRIAXONE 1G (VIAL)
02/06/2025
02/12/2025
IV
2g
OD
Cap-HR
Waiting Final Action 
02/06/2025
AZITHROMYCIN 500MG TABLET (TAB)
02/06/2025
02/11/2025
IV
500mg
OD
Cap-Hr
Waiting Final Action 
02/07/2025
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
02/07/2025
02/07/2025
4.5GM
IV
Loading Dose
Pneumonia
Waiting Final Action 
02/07/2025
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
02/07/2025
02/15/2025
IV
2.25gm
TID
Penumonia
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: