Abellanosa, Luis C.

HRN: 23-36-96  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/08/2025
CEFTRIAXONE 1G (VIAL)
02/08/2025
02/15/2025
IV
2 Grams
Once Daily
CAP MR
Waiting Final Action 
10/02/2025
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
10/02/2025
10/02/2025
IV
4.5g
LD
CAP HR
Waiting Final Action 
10/02/2025
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
10/02/2025
10/08/2025
IV
2.25g
Q6H
CAP HR
Waiting Final Action 
10/02/2025
LEVOFLOXACIN 500MG (TAB)
10/02/2025
10/08/2025
PO
500mg
OD Every Other Day
CAP HR
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: