Templa, Prince Zhamuel A.

HRN: 24-56-91  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/27/2025
CEFUROXIME 750MG (VIAL)
10/27/2025
11/03/2025
IV
290 Mg
Q 8 Hours
PCAP-C
Checking Final Appropriateness 
10/30/2025
CEFUROXIME 250MG/5ML, 50ML SUSPENSION (BOT)
10/30/2025
11/03/2025
ORAL
2.5ml
Q12h
PCAP C
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: