Albios, Mechelle .

HRN: 16-99-62  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/28/2025
AMPICILLIN 1GM (VIAL)
10/28/2025
10/30/2025
IV
2 G
Every 6 Hours ANST
Leaking BOW
Checking Final Appropriateness 
10/28/2025
CEFUROXIME 500MG (TAB)
10/28/2025
11/04/2025
ORAL
500 Mg/tab
BID
S/p Nsvd With Rmle
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: