Bisnar, Rochel Mae .

HRN: 21-86-65  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/31/2026
AMPICILLIN 1GM (VIAL)
05/31/2026
06/02/2026
IV
2g
Every 6h
PPROM X 18hrs
Checking Initial Appropriateness 
05/31/2026
AMOXICILLIN 500MG CAPSULE (CAP)
05/31/2026
06/07/2026
PO
500mg
TID
7 Days
Checking Initial Appropriateness 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: