Resuelo, Melonna .

HRN: 28-58-38  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/02/2026
AMPICILLIN 1GM (VIAL)
04/02/2026
04/09/2026
IV
2 Grams
Q6
Prom X 1 Hr
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: