Cruz, Cita S.

HRN: 26-63-90  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/05/2025
CEFIXIME 200MG (CAP)
02/05/2025
02/07/2025
PO
200mg
BID
Cap-MR
Waiting Final Action 
02/05/2025
ACICLOVIR 800MG (TAB)
02/05/2025
02/11/2025
PO
800mg
BID
Herpes Zoster
Waiting Final Action 
02/10/2025
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
02/10/2025
02/17/2025
IV
4.5g Iv Drip Once Then 2.25g Q6hrs Iv Drip
Q6
CAP MR
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: