Adorable, Geraly .

HRN: 28-96-50  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/10/2026
CEFAZOLIN 1GM (VIAL)
05/10/2026
05/10/2026
IV
2g
30 Mins PTOR
STAT CS
Checking Initial Appropriateness 
05/10/2026
CEFAZOLIN 1GM (VIAL)
05/10/2026
05/10/2026
IV
1g
For Skin Test
STAT CS
Checking Initial Appropriateness 
05/10/2026
CEFUROXIME 500MG (TAB)
05/10/2026
05/16/2026
PO
500
BID
Sp LTCS With IUD
Checking Initial Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: