Lequin, Jerson V.

HRN: 26-84-72  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/22/2025
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
03/22/2025
03/29/2025
IV
2.25gm
Q8h
Intraabdominal Infection T/c Cholecystitis
Waiting Final Action 
03/22/2025
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
03/22/2025
03/22/2025
IV
4.5gm
As LD
Intraabdominal Infection
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: