Dalman, Teodora A.

HRN: 09-58-19  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/06/2023
CEFTRIAXONE 1G (VIAL)
02/06/2023
02/12/2023
IV
2gm
Q24
Conplicated Uti
Waiting Final Action 
02/06/2023
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
02/06/2023
02/12/2023
IV
4.5g
Q8H
Urosepsis
Waiting Final Action 
02/14/2023
AZITHROMYCIN 500MG TABLET (TAB)
02/14/2023
02/20/2023
PO
500mg
OD
CAP-MR
Waiting Final Action 
02/16/2023
LEVOFLOXACIN 500MG (TAB)
02/16/2023
02/25/2023
PO
750mg
OD
Pneumonia
Waiting Final Action 
06/16/2023
MUPIROCIN 2%, 15G (TUBE)
06/16/2023
06/22/2023
TOPICAL
Ample
BID
Infected Wound
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: