Gonzaga, Manilyn .

HRN: 13-82-96  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/05/2025
AMPICILLIN 1GM (VIAL)
08/05/2025
08/07/2025
IVT
2g
Q6
PROM
Remove - Pending Acceptance
08/05/2025
CEFUROXIME 500MG (TAB)
08/05/2025
08/11/2025
ORAL
500mg
BID
NSVD With Repair Of Laceration; PROM
Remove - Pending Acceptance

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



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Final appropriateness:



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Overall appropriateness: