Lampitao, Girly .

HRN: 28-25-43  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/11/2026
CEFUROXIME 500MG (TAB)
01/11/2026
01/18/2026
PO
500MG
BID
RMLE
Checking Initial Appropriateness 
01/11/2026
METRONIDAZOLE 500MG (TAB)
01/11/2026
01/18/2026
PO
500MG
TID
Infection
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: