Opalong, Ace Gabriel .

HRN: 15-54-64  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
500mg
Every 8hrs
Empiric
Checking Final Appropriateness 
10/29/2025
CEFUROXIME 750MG (VIAL)
10/29/2025
11/04/2025
IV
700mg
Q8h
Empiric
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: