Dela Torre, Hazzel B.

HRN: 28-47-32  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/20/2026
CEFAZOLIN 1GM (VIAL)
02/21/2026
02/21/2026
IV
2 Grams
PTOR
Elective CS
Checking Initial Appropriateness 
02/21/2026
CEFAZOLIN 1GM (VIAL)
02/21/2026
02/22/2026
IV
1gm
Q8hrs X 3 Doses
S/P Primary LTCS
Remove - Pending Acceptance
02/22/2026
CEFUROXIME 500MG (TAB)
02/22/2026
02/28/2026
ORAL
500mg
BID X 7days
Sp CS
Checking Initial 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: