Batingal, Andres C.

HRN: 29-21-08  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/22/2026
CEFTRIAXONE 1G (VIAL)
06/22/2026
06/29/2026
IVTT
2g
IV
CAP-MR
Checking Initial Appropriateness 
06/22/2026
AZITHROMYCIN 500MG TABLET (TAB)
06/22/2026
06/27/2026
PER NGT
500mg
OD
CAP-MR
Checking Initial Appropriateness 
06/22/2026
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
06/22/2026
06/22/2026
IV
4.5 Gm
As Loading Dose
CAP HR
Checking Initial Appropriateness 
06/24/2026
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
06/22/2026
06/29/2026
IV
2.25 Gm
Q8h
CAP HR
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: