Flores, Rosalie C.

HRN: 13-38-70  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/27/2025
CEFTRIAXONE 1G (VIAL)
09/27/2025
10/03/2025
IV
2g
OD
UTI
Remove - Pending Acceptance
09/30/2025
CEFUROXIME 1.5GM (VIAL)
09/30/2025
10/06/2025
IV
1.5g
Q8h
Complicated UTI
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: