Nioda, Janica .

HRN: 08-63-45  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/01/2026
CEFAZOLIN 1GM (VIAL)
04/01/2026
04/01/2026
IV
2 Grams
Ptor
Pelvic Lap
Remove - Pending Acceptance
04/01/2026
DOXYCYCLINE 100MG (CAP)
04/01/2026
04/11/2026
PO
100
Bid
Ectopic Pregnancy
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: