Sopino, Vicente C.

HRN: 11-26-24  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/03/2025
CIPROFLOXACIN 500MG (TAB)
04/03/2025
04/10/2025
PO
500mg
BID
UTI
Waiting Final Action 
04/14/2025
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
04/14/2025
04/20/2025
IV
4.5gm
Q6
Hospital Acquired Pneumonia
Waiting Final Action 
04/14/2025
AZITHROMYCIN 500MG TABLET (TAB)
04/14/2025
04/18/2025
PO
500mgtab
Q24
Tc HOSPITAL ACQUIRED Pneumonia
Waiting Final Action 
04/17/2025
AZITHROMYCIN 500MG TABLET (TAB)
04/17/2025
04/23/2025
PO
500 Mg
Od
Pneumonia
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: