Corpuz, Crispin B.

HRN: 23-06-91  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/22/2023
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
05/22/2023
05/28/2023
IV
4.5 Grams
Q 6 Hrs
Septic Shock
Waiting Final Action 
05/22/2023
CLINDAMYCIN 150MG/ML, 4ML (AMP)
05/22/2023
05/28/2023
IV
600
Q 8 Hrs
Septic Shock
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: