Tesio, Saturnino .

HRN: 03-34-39  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/18/2025
CEFTRIAXONE 1G (VIAL)
11/18/2025
11/25/2025
IV
2G
OD
Pneumonia
Waiting Final Action 
11/18/2025
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
11/18/2025
11/18/2025
IV
4.5G
LOADING DOSE
Pneumonia
Waiting Final Action 
11/18/2025
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
11/18/2025
11/25/2025
IV
2.25G
Q8H
Pneumonia
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: