Jore, Joselito R.

HRN: 27-32-10  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/13/2025
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
06/13/2025
06/13/2025
IVT
4.5
Loading Dose Now
CAP-HR
Waiting Final Action 
06/13/2025
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
06/13/2025
06/19/2025
IVT
2.25g
Q6H
CAP-HR
Waiting Final Action 
06/13/2025
LEVOFLOXACIN 5MG/ML, 100ML (VIAL)
06/13/2025
06/19/2025
IVT
500mg
Q24H
CAP-HR
Waiting Final Action 
06/14/2025
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
06/14/2025
06/20/2025
IV
500mg
Q8
Septic Shock Sec To CAP-HR
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: