Mentay, Jenilyn .

HRN: 21-96-57  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)
02/20/2026
02/20/2026
IV
1g
PTOR
Pre Op Prophylaxis
Remove - Pending Acceptance
02/20/2026
DOXYCYCLINE 100MG (CAP)
02/20/2026
02/27/2026
PO
100 Mg
BID
S/P Curettage
Remove - Pending Acceptance

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: