Patalinhug, Judy Ann .

HRN: 26-88-25  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/09/2026
CEFAZOLIN 1GM (VIAL)
01/10/2026
01/09/2026
IV
2g
PTOR
FOR OR
Checking Initial Appropriateness 
01/10/2026
CEFAZOLIN 1GM (VIAL)
01/10/2026
01/12/2026
IV
1g
OD
S/p CS
Checking Initial Appropriateness 
01/10/2026
CEFUROXIME 500MG (TAB)
01/12/2026
01/19/2026
PO
500mg
BID
S/p CS
Checking Initial Appropriateness 

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: