Mondares, Evangeline P.

HRN: 26-73-45  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/28/2025
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
03/28/2025
04/04/2025
IV
2.25gms
Q8
Hospital Acquired Pneumonia
Waiting Final Action 
03/28/2025
LEVOFLOXACIN 5MG/ML, 100ML (VIAL)
03/28/2025
04/11/2025
IV
500mg
Q48hrs
Hospital Acquired Pneumonia
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



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Final appropriateness:



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Overall appropriateness: