Lubguban, Joan .

HRN: 28-74-26  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/23/2026
CEFAZOLIN 1GM (VIAL)
05/23/2026
05/24/2026
IV
1g
Q8 X 3 Doses
S/p Lscs
Checking Initial Appropriateness 
05/23/2026
CEFAZOLIN 1GM (VIAL)
05/23/2026
05/23/2026
IV
2g
PTOR
STAT CS
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: