Pangate, Jerson .

HRN: 08 91 33  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/19/2024
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
11/19/2024
11/19/2024
IV
4.5gm
LD
Sepsis
Waiting Final Action 
11/19/2024
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
11/19/2024
11/25/2024
IV
2.25gm
Q6
Sepsis
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: