Butlig, Elaine .

HRN: 27-85-02  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/26/2025
CEFUROXIME 1.5GM (VIAL)
09/26/2025
09/27/2025
IV
1.5gm
PTOR
Pre Op Prophylaxis
Checking Initial Appropriateness 
09/27/2025
CEFUROXIME 500MG (TAB)
09/27/2025
10/04/2025
ORAL
500mg
BID
S/P Suction Curettage
Checking Initial Appropriateness 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: