Banogbanog, Christopher P.

HRN: 22-47-65  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/12/2023
AZITHROMYCIN 500MG TABLET (TAB)
01/12/2023
01/16/2023
PO
500 Mg
OD
CAP-MR
Waiting Final Action 
01/12/2023
CEFTRIAXONE 1G (VIAL)
01/12/2023
01/18/2023
IV
2g
OD
CAP-MR
Waiting Final Action 
01/17/2023
AZITHROMYCIN 500MG TABLET (TAB)
01/17/2023
01/21/2023
PO
500mg
OD
CAP MR
Waiting Final Action 
01/27/2023
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
01/27/2023
01/27/2023
IVT
4.5gm
LD
Sepsis
Waiting Final Action 
01/27/2023
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
01/27/2023
02/02/2023
IVT
2.25gm
Q8
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: