Pinis, Prince Jaydee .

HRN: 27-71-84  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/25/2025
CEFUROXIME 1.5GM (VIAL)
09/25/2025
10/02/2025
IV
500mg
Q8H
UTI
Checking Initial Appropriateness 
09/28/2025
CEFTRIAXONE 1G (VIAL)
09/28/2025
10/04/2025
IV
1.2g
OD
UTI
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: