Cana, Sofia Bianca .

HRN: 28-08-91  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/18/2025
CEFUROXIME 500MG (TAB)
12/18/2025
12/25/2025
ORAL
500mg
BID
S/P NSD With Repair
Checking Final Appropriateness 
12/20/2025
CEFUROXIME 1.5GM (VIAL)
12/20/2025
12/21/2025
IV
1.5g
Q8hours X 3doses
Uti
Checking Initial 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: