Duran, Marichelle S.

HRN: 27-56-06  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/28/2025
CEFTRIAXONE 1G (VIAL)
07/28/2025
08/03/2025
IVTT
2g
Once A Day
UTI
Remove - Pending Acceptance
10/10/2025
CEFUROXIME 500MG (TAB)
10/10/2025
10/17/2025
PO
500MG
BID
CAP
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: