Labad, Baby Girl O.

HRN: 28-18-64  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/30/2025
CEFUROXIME 750MG (VIAL)
11/30/2025
12/07/2025
IV
350mg
Q8
PCAP
Checking Initial Appropriateness 
12/02/2025
CEFTRIAXONE 1G (VIAL)
12/02/2025
12/09/2025
IV
800mg
OD
Pcap C
Waiting Final Action 

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: