Punzalan, Noel D.

HRN: 28-88-13  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/17/2026
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
04/17/2026
04/17/2026
IV
4.5g
Single Dose
CAP HR
Remove - Pending Acceptance
04/17/2026
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
04/17/2026
04/24/2026
IV
2.25
Q8H
CAP HR
Remove - Pending Acceptance
04/17/2026
LEVOFLOXACIN 5MG/ML, 100ML (VIAL)
04/17/2026
04/21/2026
IV
500
OD
CAP HR
Remove - Pending Acceptance

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: