Ursonal, Sulpecio P.

HRN: 22-17-13  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/25/2022
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
11/25/2022
12/02/2022
IV
4.5
Once As Loading Dose
T/C Aspiration Pneumonia
Waiting Final Action 
11/25/2022
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
11/25/2022
12/02/2022
IV
2.25gram
Q8hrs
T/C Aspiration Pneumonia
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: