Espayos, Jinky .

HRN: 28-72-63  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/24/2026
CEFAZOLIN 1GM (VIAL)
05/24/2026
05/24/2026
IV
2g
PTOR
Stat CS
Checking Initial Appropriateness 
05/26/2026
MUPIROCIN 2%, 15G (TUBE)
05/26/2026
06/01/2026
TOPICAL
2%
BID
Sp PLTCS
Checking Initial Appropriateness 

AMS Audit Form


Start Date: End Date:

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: