Pallega, Jerson .

HRN: 29-34-53  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/25/2026
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
07/25/2026
07/25/2026
IV
4.5 Gm
Loading Dose
Complete Mechanical Bowel Obstruction, ETBD
Remove - Pending Acceptance
07/25/2026
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
07/25/2026
08/01/2026
IV
2.25 Gm
Q8h
Complete Mechanical Bowel Obstruction, ETBD
Remove - Pending Acceptance
07/25/2026
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
07/25/2026
08/01/2026
IV
500 Mg
Q8h
Complete Mechanical Bowel Obstruction, ETBD
Remove - Pending Acceptance
07/26/2026
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
07/26/2026
07/01/2026
IV
4.5g
Q6
Sepsis
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: