Vios, Jey Ann D.

HRN: 28-63-67  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/04/2026
CEFTRIAXONE 1G (VIAL)
04/04/2026
04/11/2026
IVT
2gms
OD
Uti In Pregnancy
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: