Lledo, Merry Ann .

HRN: 28-74-20  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/27/2026
CEFAZOLIN 1GM (VIAL)
04/27/2026
04/27/2026
IV
2grams
PTOR
OR Prophylaxis
Remove - Pending Acceptance
04/27/2026
CEFAZOLIN 1GM (VIAL)
04/27/2026
04/28/2026
IV
1 Gram
Q8 X 3 Doses
SP 1LTCS
Remove - Pending Acceptance
04/27/2026
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
04/27/2026
04/28/2026
IV
500 Mg
Q8 X 4 Doses
SP 1LTCS
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: