Cuizon, Senceridad B.

HRN: 13-77-10  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/13/2026
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
02/13/2026
02/20/2026
IV
2.25
Q6h
Sepsis Sec To Complivated Uti
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: