Mahapipit, Eusebio, Jr. D.

HRN: 24-46-89  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/28/2024
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
01/28/2024
02/04/2024
IV
4.5 Grams
Every 6hours
Empiric
Waiting Final Action 
01/28/2024
CLINDAMYCIN 150MG/ML, 4ML (AMP)
01/28/2024
02/04/2024
IV
600mg
Every 8hours
Empiric
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: