Tangi-an, Renalyn .

HRN: 10-89-28  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/21/2026
CEFAZOLIN 1GM (VIAL)
05/21/2026
05/21/2026
IV
1g
PTOR
Pre Op Prophylaxis
Checking Initial Appropriateness 
05/22/2026
DOXYCYCLINE 100MG (CAP)
05/22/2026
05/29/2026
ORAL
100mg
BID
S/P Completion Curettage
Checking Initial Appropriateness 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: