Gontinias, Sheila Mae .

HRN: 02-26-96  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/23/2025
CEFUROXIME 1.5GM (VIAL)
10/23/2025
10/23/2025
IV
1.5g
PTOR
CS
Checking Final Appropriateness 
10/23/2025
CEFUROXIME 1.5GM (VIAL)
10/23/2025
10/24/2025
IVTT
1.5g
Q8h
SP LTCS
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: