Leopan, John L.

HRN: 22-00-61  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/28/2025
CEFTRIAXONE 1G (VIAL)
06/28/2025
07/05/2025
IV
2g
OD
CAPMR
Waiting Final Action 
06/28/2025
AZITHROMYCIN 500MG TABLET (TAB)
06/28/2025
07/02/2025
PO
500mg
OD
CAPMR
Waiting Final Action 
07/01/2025
LEVOFLOXACIN 500MG (TAB)
07/01/2025
07/08/2025
PO
500 Mg/tab
OD
Pneumonia
Remove - Pending Acceptance

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: