Wayong, Devie Jane .

HRN: 07-68-45  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/05/2025
CEFUROXIME 1.5GM (VIAL)
12/05/2025
12/12/2025
IVT
1.5gms
ON CALL TO OR THEN Q 8 HRS
LTCS
Checking Final Appropriateness 
12/05/2025
CEFUROXIME 1.5GM (VIAL)
12/05/2025
12/12/2025
IVT
1.5gms
ON CALL TO OR THEN Q 8 HRS
LTCS
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: