Tangan, Maricar .

HRN: 28-25-46  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/24/2026
CEFAZOLIN 1GM (VIAL)
02/24/2026
02/28/2026
IV
1g
Q8
S/P CS + IUD
Checking Initial Appropriateness 
02/24/2026
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
02/24/2026
03/02/2026
IV
500mg
Q8
S/P CS + IUD
Checking Initial Appropriateness 
02/24/2026
CEFAZOLIN 1GM (VIAL)
02/24/2026
02/24/2026
IV
2g
PTOR
Pre Op Prophylaxis
Checking Initial Appropriateness 
02/25/2026
CEFUROXIME 500MG (TAB)
02/25/2026
03/03/2026
PO
500 Mg
BID
Sp 1 LTCS
Remove - Pending Acceptance
02/25/2026
METRONIDAZOLE 500MG (TAB)
02/25/2026
02/25/2026
PO
500 Mg
TID
Sp 1 LTCS
Remove - Pending Acceptance
02/26/2026
AZITHROMYCIN 500MG TABLET (TAB)
02/26/2026
03/02/2026
PO
500 Mg
OD
Cap LR
Remove - Pending Acceptance

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: