Ansiling, Jurico I.

HRN: 29-34-70  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/26/2026
CEFAZOLIN 1GM (VIAL)
07/26/2026
07/26/2026
IV
2G
Single Dose
Lacerated Wound On Left Hand
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: