Molina, Sally .

HRN: 28-80-93  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/12/2026
CEFAZOLIN 1GM (VIAL)
04/12/2026
04/18/2026
IV
1g
Pt Or
Cs
Remove - Pending Acceptance
04/12/2026
CEFAZOLIN 1GM (VIAL)
04/12/2026
04/13/2026
IV
2g
PTOR
CS
Remove - Pending Acceptance
04/12/2026
GENTAMICIN 40MG/ML, 2ML (AMP)
04/12/2026
04/18/2026
IV
320mg
OD
Curettage
Remove - Pending Acceptance
04/12/2026
CLINDAMYCIN 150MG/ML, 4ML (AMP)
04/12/2026
04/18/2026
IV
900mg
Every 8 Hours
Curettage
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: