Caangay, Angelyn .

HRN: 28-98-80  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/27/2026
AMPICILLIN 1GM (VIAL)
06/27/2026
07/04/2026
IV
2g
Q6hrs
PROM
Checking Initial Appropriateness 
06/27/2026
CEFAZOLIN 1GM (VIAL)
06/27/2026
06/27/2026
IV
2g
PTOR
Preop Prophylaxis
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: