Manuales, Kristyl Jovi A.

HRN: 20-64-30  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/09/2026
AMPICILLIN 1GM (VIAL)
03/09/2026
03/16/2026
IV
2g
Q6h
PPROM X 6 Hours
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: