Rotallas, Rufa May M.

HRN: 22-43-67  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/22/2023
CEFTRIAXONE 1G (VIAL)
04/22/2023
04/29/2023
IV
2grams
OD
CAP
Waiting Final Action 
04/28/2023
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
04/28/2023
05/04/2023
IVT
1.5h
Q6
Pneumonia
Waiting Final Action 
04/28/2023
AZITHROMYCIN 500MG TABLET (TAB)
04/28/2023
05/02/2023
PO
500mgtab
OD
Pneumonia
Waiting Final Action 
09/21/2023
CEFTRIAXONE 1G (VIAL)
09/21/2023
09/28/2023
IV
2g
IV
CAP MR
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: