Bayron, Lou Rey Ann .

HRN: 27-94-56  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/08/2026
CEFUROXIME 1.5GM (VIAL)
01/08/2026
01/10/2026
IV
1.5g
Q8h
S/P CS
Checking Initial Appropriateness 
01/08/2026
CEFUROXIME 500MG (TAB)
01/08/2026
01/15/2026
PO
1 Tab
BID
S/P CS
Checking Initial Appropriateness 

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: