Barias, Emma .

HRN: 27-68-09  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/20/2025
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
08/20/2025
08/20/2025
IV
4.5g
Now
Cap Hr
Checking Initial Appropriateness 
08/20/2025
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
08/20/2025
08/26/2025
IV
2.25g
Q8
Cap Hr
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: