Veraño, Ricardo J.

HRN: 19-58-59  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/06/2026
AZITHROMYCIN 500MG TABLET (TAB)
01/06/2026
01/11/2026
PO
500mg
Od
Cap-mr
Waiting Final Action 
01/06/2026
CEFTRIAXONE 1G (VIAL)
01/06/2026
01/13/2026
IVT
2g
Od
Cap-mr
Waiting Final Action 
01/06/2026
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
01/06/2026
01/06/2026
IV
4.5gms
Just Now 1 Dose As Loading Dose
CAP HR
Waiting Final Action 
01/06/2026
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
01/06/2026
01/13/2026
IV
2.25gm
Q6H
CAP HR
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: