Sanchez, Joe-anne M.

HRN: 25-32-29  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/25/2026
AMOXICILLIN 500MG CAPSULE (CAP)
01/25/2026
02/01/2026
ORAL
500mg
TID
S/P NSD With Repair
Remove - Pending Acceptance
01/26/2026
AMOXICILLIN 500MG CAPSULE (CAP)
01/26/2026
02/01/2026
PO
500mg
TID
NSVD With RMLE
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: