Baterna, Nelly .

HRN: 28-74-95  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/29/2026
CEFAZOLIN 1GM (VIAL)
04/29/2026
04/29/2026
IV
2g
PTOR
Pre Op Prophylaxis
Checking Initial Appropriateness 
04/30/2026
CEFUROXIME 500MG (TAB)
04/30/2026
05/07/2026
PO
500 Mg
BID
UTI Following Delivery
Checking Initial Appropriateness 

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: