Indanan, Nor-in .

HRN: 27-86-60  Sex: Female

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
10/01/2025
IV
1.5gm
Q8hr X 3 Days
UTI
Checking Initial Appropriateness 
09/25/2025
CEFUROXIME 500MG (TAB)
09/28/2025
10/04/2025
ORAL
500mg
BID
UTI
Checking Initial Appropriateness 
09/27/2025
CEFUROXIME 500MG (TAB)
09/27/2025
10/04/2025
ORAL
500mg
BID
S/P D&C
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: