Evangelista, Emie Grace Y.

HRN: 15-97-67  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/23/2026
AMPICILLIN 1GM (VIAL)
01/23/2026
01/29/2026
IV
2 G
Q6
PROM
Remove - Pending Acceptance
01/26/2026
AMOXICILLIN 500MG CAPSULE (CAP)
01/26/2026
02/01/2026
PO
500mg
TID
PROM
Remove - Pending Acceptance
01/27/2026
CEFAZOLIN 1GM (VIAL)
01/27/2026
01/28/2026
IV
1gm
PTOR
For STAT CS
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: