Patindol, Francisco T.

HRN: 26-10-33  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/27/2026
CEFTRIAXONE 1G (VIAL)
04/27/2026
05/04/2026
IV
2g
OD
UTI
Checking Initial Appropriateness 
05/09/2026
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
05/09/2026
05/09/2026
IV
4.5g
1 Dose (as Loading Dose)
Sepsis Prob Sec To Complicated UTI
Checking Initial Appropriateness 
05/09/2026
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
05/09/2026
05/16/2026
IV
2.25G
Q6H
SEPSIS PROB SEC TO COMPLICATED UTI
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: