Sofia, Mariel .

HRN: 05-41-80  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/03/2025
CEFUROXIME 1.5GM (VIAL)
06/03/2025
06/10/2025
IV
1g
Q8hrs
Uti
Waiting Final Action 
06/07/2025
CEFUROXIME 500MG (TAB)
06/07/2025
06/13/2025
PO
500mg
BID
Uti In Preg
Waiting Final Action 
06/07/2025
METRONIDAZOLE 500MG (TAB)
06/07/2025
06/13/2025
PO
500mg
BID
UTI In Preg
Waiting Final Action 
10/30/2025
CEFUROXIME 1.5GM (VIAL)
10/30/2025
10/31/2025
IV
1.5gms
Q8hrs X 3 Doses
S/P Primary LTCS
Checking Final Appropriateness 
10/30/2025
CEFUROXIME 500MG (TAB)
10/31/2025
11/07/2025
PO
500mg
BID X 7 Days
S/P LTCS
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: