Villan, Raymundo E.

HRN: 28-85-16  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/12/2026
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
04/12/2026
04/18/2026
IV INFUSION
2.25
Q8
Cap HR T/c Sepsis, (continuation Of Treatment)
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: