Paraiso, Jhon Arl G.

HRN: 22-86-31  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/13/2023
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
05/13/2023
05/19/2023
IV
210mg
Q6
Pcap Severe
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: