Baga, Jemilyn O.

HRN: 28-34-11  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/27/2025
CEFTRIAXONE 1G (VIAL)
12/27/2025
01/03/2026
IV
2gms
OD
Acute Cystitis
Checking Initial Appropriateness 
01/06/2026
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
01/06/2026
01/13/2026
IV
4.5g
Q8h
Uti Complicated
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: