Dragon, Lovely A.

HRN: 04-07-66  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/07/2025
CEFUROXIME 1.5GM (VIAL)
11/08/2025
11/09/2025
IVT
1.5gm
ON CALL TO OR THEN Q 8
LTCS
Waiting Final Action 
11/07/2025
CEFUROXIME 500MG (TAB)
11/10/2025
11/17/2025
PO
500 MG
BID
LTCS
Waiting Final Action 
11/08/2025
CEFUROXIME 500MG (TAB)
11/09/2025
11/16/2025
PO
500mg
Q12
S/p Lstcs
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: