Mago, Cherry Mae Q.

HRN: 12-61-45  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/06/2023
CEFUROXIME 1.5GM (VIAL)
11/06/2023
11/12/2023
IV
1.5 Grams
Q8
CS
Checking Final Appropriateness 
11/07/2023
CEFUROXIME 500MG (TAB)
11/07/2023
11/14/2023
PO
1 Tab
BID
S/p CS
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: