Sinadjan, Lorissa L.

HRN: 28-68-15  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/08/2026
CEFAZOLIN 1GM (VIAL)
03/08/2026
03/08/2026
IVT
2gms
ON CALL TO OR
STAT COMPLETION CURETTAGE
Checking Initial Appropriateness 
03/08/2026
DOXYCYCLINE 100MG (CAP)
03/08/2026
03/15/2026
PO
100
Bid
Completion Curretage;incomplete Abortion
Checking Initial Appropriateness 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: