Ombao, Abdon S.

HRN: 29-05-28  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/20/2026
AZITHROMYCIN 500MG IV
05/20/2026
05/24/2026
IV
500 Mg
Od
Septic Shock Prb Sec To CAP MR
Remove - Pending Acceptance
05/20/2026
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
05/20/2026
05/26/2026
IV
4.5g
Q6h
Septic Shock Sec To CAPHR
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: