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Dalagon, Graceille Yvana Dale P.
HRN: 21-94-14 Sex: Female
Patient Encounter
AMS Audit List
Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/11/2022
AMPICILLIN 250MG (VIAL)
09/11/2022
09/17/2022
IV
130mg
Q12
PSNB PROM X 22 Hrs
Waiting Final Action
09/11/2022
GENTAMICIN 40MG/ML, 2ML (AMP)
09/11/2022
09/17/2022
IV
13mg
OD
PSNB; PROM 22hrs
Waiting Final Action
AMS Audit Form
Select Prescribing Doctor
Solaiman, Amina I.
Ensanah, Sherwinda M.
Braga, Philip Jay D.
Emmanuel, Minette B.
Gumansing, Genisa A.
Panes, Mary Chrisia D.
Falsario, Kisha Fehr J.
Mag-usara, Vanessa Rona P.
Luzon, Jasper Ryan, N/A. A.
Usad, Al-jaenedy M.
Malonzo, Marielle G.
Cabato, Marlon Vincent, NONE. D.
Alagon, Lester G.
Turalba, Leona Mae R.
Bernardo, Joraulo Leo A.
Hasan, Irshada P.
Galvez, Cicily Anne, N/A. C.
Ijirani, Ian Daryl C.
Jalandoni, Kent O.
Enopia, Felice Marie G.
Limbauan, Jaypee B.
Maadil, Mikhail C.
Alternative Rod, Pharmacy .
Cordenillo, Remegio Angelo, III. C.
Abrea, Jecoliah P.
Macansantos, Juneth J.
Agabon, Genwil B.
Magadan, Ariene Marie E.
Ilano, Krizha S.
Pansoy, Riza Joy G.
Manalo, Jenny Claire B.
Mahinay, Ebony Dee L.
Repolidon, Mary Midette M.
Sumatra, Jessa Mayet A.
Ilano, Krizha S.
Manupac, Shalelie Mae P.
Bacalso, Archelle S.
Alcazaren, Anjomar A.
Department, Pharmacy .
Mansil, Tasnim A.
Oyales, Odessa Kates G.
Zarraga, Ivy Gift, NONE. A.
Sebastian, Marie Elaine S.
Hibionada, Rhea Pearl A.
Aballe, Karen Marie L.
Ammad, Salwa B.
Canonigo, Jeal Dame Michelle D.
Garcia, Jayvalikka A.
Rebollos, James J.
Dela Rosa, Sarrah-mae B.
Rombo, Richmond L.
Villasin, Mikko B.
Fernandez, Ancella Grace R.
Gallemit, Evageline P.
Domingo, Sheena Razel D.
Abiera, Stephanie C.
Padayao, Jan Vince Ii E.
Arquiza, Arcent A.
Arguelles, Edelyn C.
Decosto, Renie Boy .
Torino, Nikka Lorence .
Rizon-mantos, Mareeya Rowena M.
Lumacad, Althea Kristille P.
Ahmad, Al-john A.
Selisana, Jon Alvin M.
Esteron, Raizel Ann .
Hamsain, Sara Mae, MS. A.
Murillo, Diane B.
Delos Santos, Jeric Evanz G.
Jumadil, Bensar B.
Reyes, Kristel Mae G.
Constantino, Jeffrey O.
Sardua, Keilah Faith M.
Rombo, Lovely Ann Mae V.
Manupac, Shalelie Mae P.
Tadan, Maureen J.
Sarreal, Dolrich F.
Villacrusis, Vitorio Lorenzo D.
Vargas, Catleya .
Selisana, Jacky Mariel G.
Valmonte, Sheilah Marie M.
Oraiz, Marionne Patricia L.
Monreal, Angelruss Marie S.
Sanson, Eunice Kay J.
Sali, Faridah Rasnah M.
Wee, Jessica Jill B.
Tabbu, Honey Faye D.
Edding, Sairileen D.
Betanio, Jessa Marie G.
Oliveros, Chandee B.
Bazar, Albert Philip B.
Untal, Quennie F.
Jamolod, Jemar T.
Valdez, Charlene Mae L.
Francisco, Jessa Frances .
Villareal, Leslie Angeline L.
Ungab, Jessa Rhe O.
Apales, Gayle Krizzia D.
Avila, Apple Khate R.
Ambag, Ozair S.
Mercado, Nielyn Merced A.
Boniel, Julius Sattur M.
Cagas, Edinah Nadell A.
Musa, Abdulmajid M.
Ortiz, Xandra O.
Villanueva, Annie Grace D.
Bautista, Trishia Anne A.
Tayong, Justin Danny C.
Barani, Nor-ain L.
Gregorio, Ma. Christine D.
Pagas, Xaviera C.
Palomar, Kara Niña G.
Montalban, Pj-purple Liz C.
Percales, Charisse Jan T.
Lacson, Mary Roussle Janthina C.
Barrientos, Arielle Marie M.
Rivera, Whendy Kristy Vee .
Genetiano, Adrian Vincent .
Narca, Mark Kenneth R.
Caray, Lardel Kent D.
Datumolok, Abdel Hazziem B.
Fuentes, Clarish Novelle P.
Garupa, Pearl Eden E.
Rojo, Joshannie H.
Brillantes, Keanu Angelo .
Villegas, Marie Grace O.
Carbonilla, Krizelle Arn L.
Genturalez, Dwight Christian D.
Balbido, Cherrylyn G.
Amelda, Patricia Eloise H.
Ibe, Ma. Eda Cecille P.
Panugalinog, Rica-ann .
Quimson, Kim Faye E.
Gulane, Beryl A.
Aquino, Francis B.
Clemencio, Keith Caesar U.
Morta, Eunice Kathleen M.
Cavan, Airra Nikka B.
Balahim, Jhaynur-rezza A.
Alburo, Marigold B.
Pepito, Lyn Lochin V.
Dayondon, Emily Sheen M.
Quiñon, Mary Micah L.
Macataman, Sittie Hayloon P.
Trinidad, Therese Kate A.
Malate, Pamela Laida T.
Sotto, Cynthia E.
Paradji, Arfaina C.
Mustapha, Krisernahar A.
Dela Cruz, Hannah Loise F.
Mayormita, Krisleen Marie T.
Albarico, Dyzza Lei .
Madayag, Mary Kriszel P.
Lim, Nestor Casidrie Jesson D.
Patangan, Joy Mae .
Omar, Abdul Aziz I.
Montenegrp, Chery Bel S.
Maro, Gladys D.
Tancio, Mariecor D.
Alcazaren, Kathleen Ann A.
Lauglaug, Cher Lynn B.
Yap, Kris Lorraine R.
Lagura, Kathreena C.
Saavedra, Ramon Uzziel F.
Sali, Krissha Wea .
Barbarona, Khryzl Y.
Graciano, Evander D.
Narciso, Mindette Love M.
Lito, Renz Darwin M.
Legaspi, Emarie San A.
Roullo, Melodine Mae D.
Bongalos, Nico I.
Toledo, Dina Jane G.
Operio, Krisaldine Pearl G.
Bogo, Alisha Mae V.
Maligro, Paul John D.
Ganub, Laarni Jayne M.
Fabe, Jessaflore C.
Select Antimicrobial
Amikacin
Amoxicillin
Ampicillin
Azithromycin
Aztreonam
Cefaclor
Start Date:
End Date:
Indication:
Prophylaxis
Empiric
Culture-directed
Empirical Escalation
Empirical de-escalation
Empiric then culture-directed
Type of Infection:
Urinary tract
Pneumonia
URTI
Bloodstream
Bone & joint
Skin & soft tissue
Intra-abdominal
Eye, ear, nose, throat, & mouth
Cardiovascular
Reproductive tract
Central nervous system
Febrile neutropenia
Disseminated systemic infection
Unspecified sepsis
Multiple infections (tick all sites)
Prophylaxis
Compliance to guidelines:
Compliant to guidelines
Non-compliant to guidelines
Guideline not available
Initial appropriateness:
Yes
No
If inappropriate:
No infection
Wrong choice
Wrong route
Wrong dose
Final appropriateness:
Yes
No
If inappropriate:
No infection
Wrong choice
Wrong route
Wrong dose
Wrong duration
Overall appropriateness:
Yes
No