Isnani, Cristine M.

HRN: 28-57-99  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/19/2026
CEFAZOLIN 1GM (VIAL)
03/19/2026
03/19/2026
IV
2gms
PTOR
STAT CS
Checking Initial Appropriateness 
03/19/2026
CEFAZOLIN 1GM (VIAL)
03/19/2026
03/20/2026
IV
1g
Q8hrs
S/P LSTCS
Remove - Pending Acceptance

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: