Sagayno, Elsie A.

HRN: 02-05-13  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/21/2025
CEFUROXIME 1.5GM (VIAL)
07/21/2025
07/22/2025
IV
1.5 G
Loading Dose
For Elective D&C
Waiting Final Action 
07/22/2025
CEFUROXIME 500MG (TAB)
07/22/2025
07/29/2025
ORAL
500mg
BID
S/P D&C
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: