Banghula, Diosdado .

HRN: 26-18-25  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/02/2026
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
02/02/2026
02/09/2026
IV
4.5
Q8H
CAP HR
Waiting Final Action 
02/09/2026
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
02/09/2026
02/15/2026
IV
750mg
OD
CAP-MR; COPD In AE
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: