Nesnia, Maria Alona .

HRN: 01-43-77  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/18/2025
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
07/18/2025
07/25/2025
IV
4.5gms
Q8
Hospital Acquired Pneumonia
Checking Initial Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: