Billy, Hairani S.

HRN: 27-32-27  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/14/2025
CEFUROXIME 1.5GM (VIAL)
06/14/2025
06/15/2025
IV
1.5gms
PTOR
STAT CS
Checking Initial Appropriateness 
06/14/2025
CEFUROXIME 1.5GM (VIAL)
06/14/2025
06/15/2025
IVT
1.5g
Q8 X 2 More Doses
S/P CS
Checking Initial Appropriateness 
06/14/2025
CEFUROXIME 500MG (TAB)
06/14/2025
06/22/2025
PO
500mg
BID
S/P LTCS
Checking Initial 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: