Masayon, Jesus T.

HRN: 07-16-85  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/31/2022
AZITHROMYCIN 500MG TABLET (TAB)
08/31/2022
09/07/2022
PO
1 Tab
OD
PTB, CAP
Waiting Final Action 
08/31/2022
CEFTRIAXONE 1G (VIAL)
08/31/2022
09/07/2022
IV
1g
Q12h
PTB, CAP
Waiting Final Action 
09/03/2022
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
09/03/2022
09/09/2022
IV
4.5g
Q8h
CAP MR, COPD, Covid Suspect
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: