Balasabas, Jesa .

HRN: 11-71-15  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/29/2025
CEFUROXIME 1.5GM (VIAL)
08/29/2025
08/30/2025
IV
1.5g
Anst Ptor
Cs
Checking Initial Appropriateness 
08/30/2025
CEFUROXIME 1.5GM (VIAL)
08/30/2025
08/30/2025
IV
1.5gm
Once At 5pm
Sp Repeat CS
Checking Initial Appropriateness 
08/30/2025
CEFUROXIME 500MG (TAB)
08/30/2025
09/05/2025
ORAL
500mg
BID X 7days
Sp Repeat CS
Checking Initial Appropriateness 

AMS Audit Form


Start Date: End Date:

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Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: