Aclo, Cipriano, SR. A.

HRN: 15-07-88  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/27/2026
CEFTAZIDIME 1GM (VIAL)
07/27/2026
08/02/2026
IV
2GM
OD
CAP
Remove - Pending Acceptance
07/27/2026
CEFTAZIDIME 1GM (VIAL)
07/27/2026
08/03/2026
IVTT
2g
Q8H
PNEUMONIA
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: