Ramos, Carmencito .

HRN: 28-71-54  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/21/2026
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
03/21/2026
03/28/2026
IV
4.5G
Q6H
CAP-HR
Remove - Pending Acceptance
03/21/2026
AZITHROMYCIN 500MG TABLET (TAB)
03/21/2026
03/25/2026
PO
500MG
OD
PNEUMONIA
Remove - Pending Acceptance

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: