Rodriguez, Sherill A.

HRN: 27-57-08  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/09/2025
CEFUROXIME 500MG (TAB)
08/09/2025
08/16/2025
PO
500 MG
BID
TMSAF
Checking Initial Appropriateness 
08/09/2025
METRONIDAZOLE 500MG (TAB)
08/09/2025
08/16/2025
PO
500MG
TID
TMSAF
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: