Esclibano, Eliza Grace .

HRN: 27-58-08  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/03/2025
CEFTAZIDIME 1GM (VIAL)
08/03/2025
08/10/2025
IV
1.5g
Q12h
UTI
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: