Mauran, Rolly B.

HRN: 27-90-91  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/08/2025
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
10/08/2025
10/14/2025
IV
2.25g
Q6
Cap-HR
Waiting Final Action 
10/08/2025
AZITHROMYCIN 500MG TABLET (TAB)
10/08/2025
10/13/2025
PER NGT
500mg
OD
Cap-HR
Waiting Final Action 
10/08/2025
LEVOFLOXACIN 5MG/ML, 100ML (VIAL)
10/08/2025
10/14/2025
IV
750mg
Q48h
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: