Tipo, Dionesio L.

HRN: 22-11-12  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/23/2022
CEFTRIAXONE 1G (VIAL)
10/23/2022
10/29/2022
IV
2g
Q24
Pneumonia
Waiting Final Action 
10/23/2022
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
10/23/2022
11/06/2022
IV
4.5gram IVT
Q6hrs
CAP-MR
Waiting Final Action 
10/27/2022
AZITHROMYCIN 500MG TABLET (TAB)
10/27/2022
10/31/2022
PER OREM
500mg
OD
Pulmonary Infection/ Infiltrates
Waiting Final Action 
10/29/2022
LEVOFLOXACIN 5MG/ML, 100ML (VIAL)
10/29/2022
11/04/2022
IV
750mg
OD
HAP
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: