Manda, Bonifacia .

HRN: 23-03-77  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/16/2026
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
07/16/2026
07/22/2026
IV INFUSION
4.5gms
Q6h
Pneumonia
Checking Initial Appropriateness 
07/21/2026
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
07/21/2026
07/28/2026
IV
9g
Q8H
VAP, Aspiration Pneumonia
Remove - Pending Acceptance

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: