Uban, Daisy .

HRN: 28-56-44  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/14/2026
AZITHROMYCIN 500MG TABLET (TAB)
02/14/2026
02/19/2026
PO
500mg
OD
CAP-HR
Remove - Pending Acceptance
02/14/2026
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
02/14/2026
02/21/2026
IV
2.25gm
Q6h
CAP-HR
Remove - Pending Acceptance

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: