Fernandez, Carmen .

HRN: 19-09-41  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/28/2025
CEFUROXIME 1.5GM (VIAL)
05/28/2025
05/28/2025
IV
1.5gm
PTOR
Pre Op Prophylaxis
Remove - Pending Acceptance
05/28/2025
CEFUROXIME 1.5GM (VIAL)
05/28/2025
05/29/2025
IV
1.5g
Q8 X 3 Doses
S/p Cs
Remove - Pending Acceptance
05/28/2025
CEFUROXIME 500MG (TAB)
05/28/2025
06/04/2025
PO
500mg
1 Tab BID X 7 Days
S/p Cs
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: