Tobias, Jose B.

HRN: 23-72-82  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/24/2023
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
09/24/2023
09/30/2023
IV
2.25g
Q8hrs
CAP-HR
Waiting Final Action 
10/08/2023
LEVOFLOXACIN 5MG/ML, 100ML (VIAL)
10/08/2023
10/13/2023
IV
500mg
OD
HAP
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: