Cabatingan, Vicente V.

HRN: 28-96-89  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/13/2026
CEFTRIAXONE 1G (VIAL)
05/13/2026
05/19/2026
IV
1g
Q12
Fracture, Abrasions
Checking Initial Appropriateness 
05/15/2026
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
05/15/2026
05/22/2026
IV
2.5mg
Q8
Cap Mr
Rejected 
05/15/2026
LEVOFLOXACIN 500MG (TAB)
05/15/2026
05/22/2026
PO
500
OD
Cap MR
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: