Romo, Girley .

HRN: 25-52-95  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/06/2026
CEFAZOLIN 1GM (VIAL)
02/06/2026
02/13/2026
IV
2grams
Ptor
Ltcs
Remove - Pending Acceptance
02/07/2026
CEFAZOLIN 1GM (VIAL)
02/07/2026
02/13/2026
IV
1g
Q8
Post Op Cs
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: