Bacsan, Jovelyn O.

HRN: 07-94-58  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/25/2022
AZITHROMYCIN 500MG TABLET (TAB)
04/25/2022
04/29/2022
PO
500mg
OD
Pneumonia
Waiting Final Action 
04/25/2022
CEFTAZIDIME 1GM (VIAL)
04/25/2022
05/02/2022
IV
1g
Q8H
Pneumonia, Moderate Risk
Waiting Final Action 
05/04/2022
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
05/04/2022
05/11/2022
IV
4.5g
Q6
CAP;TC Lung Abscess
Waiting Final Action 
05/06/2022
NYSTATIN 100,000IU/ML, 30ML SUSPENSION (BOT)
05/06/2022
05/11/2022
PO
4ml
Bid
Oral Ulcer Tc Oral Candidiasis
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: