Awid, Tomigan G.

HRN: 26-82-32  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/03/2025
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
04/03/2025
04/10/2025
IV
4.5g
Q8
Acute UTI
Waiting Final Action 
04/03/2025
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
04/03/2025
04/10/2025
IV
4.5g
Q8
Acute UTI
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: