Yanoyan, Elsie E.

HRN: 22-49-92  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/24/2026
AMPICILLIN 1GM (VIAL)
07/24/2026
07/25/2026
IVTT
2g
Q6h
THINLY MSAF; PROM X6h
Remove - Pending Acceptance
07/24/2026
CEFUROXIME 500MG (TAB)
07/24/2026
07/31/2026
PO
500mg
BID X 7 Days
S/P NSVD; Thinly MSAF
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: