Gualen, Joy .

HRN: 27-23-08  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/29/2025
CEFUROXIME 1.5GM (VIAL)
07/30/2025
07/30/2025
IV
1.5 G
On Call Prior To OR
OR Prophylaxis
Checking Initial Appropriateness 
07/29/2025
CLOXACILLIN 500MG (CAP)
07/29/2025
08/12/2025
PO
500mg
TID
S/P ORIF Distal Radius-Ulna
Checking Initial Appropriateness 
07/31/2025
CEFUROXIME 750MG (VIAL)
07/31/2025
08/01/2025
IV
750mg
Q8
S/P Removal Of Implants
Checking Initial Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: