Moniba, Matranillo B.

HRN: 12-66-45  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/03/2023
CEFTAZIDIME 1GM (VIAL)
01/03/2023
01/10/2023
IVT
1gm
Q8
Cap Mr, Copd In Ae
Waiting Final Action 
01/03/2023
AZITHROMYCIN 500MG TABLET (TAB)
01/03/2023
01/07/2023
PO
500mg
Od
Cap Mr, Copd In Ae
Waiting Final Action 
01/04/2023
CLINDAMYCIN 150MG/ML, 4ML (AMP)
01/04/2023
01/10/2023
IV
600mg
Q8h
CAP HR; COPD In AE
Waiting Final Action 
01/07/2023
LEVOFLOXACIN 5MG/ML, 100ML (VIAL)
01/07/2023
01/13/2023
IV
750mg
OD
Severe Sepsis
Waiting Final Action 
01/07/2023
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
01/07/2023
01/13/2023
IV
4.5g
Q6H
Severe Sepsis
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: