Alimanio, Jolina S.

HRN: 19-71-81  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/26/2025
AZITHROMYCIN 500MG TABLET (TAB)
10/26/2025
10/30/2025
PO
500mg
Od
Cap-MR
Checking Final Appropriateness 
10/26/2025
CEFTAZIDIME 1GM (VIAL)
10/26/2025
11/02/2025
IV
1g
Q8h
Cap-MR
Checking Final Appropriateness 
11/02/2025
CEFTAZIDIME 1GM (VIAL)
11/02/2025
11/04/2025
IV
1g
Q8
Cap
Waiting Final Action 
11/04/2025
LEVOFLOXACIN 500MG (TAB)
11/04/2025
11/10/2025
PO
500mg
OD
T/c Lung Abscess
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: