Colegado, Crispin M.

HRN: 22-88-26  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/17/2026
AZITHROMYCIN 500MG TABLET (TAB)
02/17/2026
02/22/2026
VIA NGT
500mg
OD
CAP
Checking Initial Appropriateness 
02/17/2026
CEFTRIAXONE 1G (VIAL)
02/17/2026
02/24/2026
IVT
2g
OD
CAp
Checking Initial Appropriateness 
02/19/2026
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
02/19/2026
02/26/2026
IVT
4.5g
OD
CAP
Rejected 
02/19/2026
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
02/19/2026
02/26/2026
IVT
2.25g
Q8
CAP
Checking Initial Appropriateness 
02/20/2026
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
02/20/2026
02/27/2026
IV
4.5
Q6
CAP HR
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: