Sarmiento, Rommel .

HRN: 27-35-18  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/19/2025
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
06/19/2025
06/26/2025
IV
4.5g
Q6H
CAP-HR
Waiting Final Action 
06/19/2025
CLARITHROMYCIN 500MG (CAP)
06/19/2025
06/26/2025
PO
500MG
BID
Pneumonia
Waiting Final Action 

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: