Perotcho, Ryan Jake R.

HRN: 26-48-59  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/04/2025
CEFUROXIME 750MG (VIAL)
03/04/2025
03/10/2025
IV
600mg
Q8
Pcap
Waiting Final Action 
03/05/2025
CEFUROXIME 250MG/5ML, 50ML SUSPENSION (BOT)
03/05/2025
03/10/2025
PO
7.5ml
BID
PCAP
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: