Vega, Lorena R.

HRN: 17-79-12  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/21/2026
AMPICILLIN 1GM (VIAL)
07/21/2026
07/22/2026
IVTT
2g
Q6h
Thickly MSAF
Remove - Pending Acceptance
07/22/2026
CEFUROXIME 500MG (TAB)
07/22/2026
07/28/2026
ORAL
500mg
Q12hrs
Thickly MSAF
Remove - Pending Acceptance
07/22/2026
METRONIDAZOLE 500MG (TAB)
07/22/2026
07/28/2026
ORAL
500mg
Q8hr
Thickly MSAF
Remove - Pending Acceptance

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: